C&C Form – Comply and Complain

Your Name *

First

Last

Gender *

Age *

Ethnicity *

Officer's Name *

First

Last

If the officer is not wearing a name badge please state 'name not visible'

How many officers were present?

Did the officer have body worn video?

Yes
No
Not sure

Type of stop *

Who was being stopped? *

Type of vehicle

Car, Cycle, motorised scooter

Where were you or the person stopped? (Area) *

Street *

Post Code - Full or Partial *

Did the officer *

identify themselves?
tell you why you were being stopped?
ask you where you had been?
where you were going?
ask you if you were carrying any weapons or drugs?

Please select what the officer did

Did you comply? *

Were you handcuffed?

Yes
No

Were you searched?

Yes
No

Did the officer tell you why you were being searched?

Yes
No
Don't know

What was the reason you were being searched?

Drugs
Weapons
Other

Please explain other

Overall, did you feel the search was justified?

Yes
No
Don't know

Did the officer provide their details?

Yes
No
Don't know

Did the officer offer you a record of the stop and search or tell you how you could get one at a later time? *

Yes
No
Don't know

Did the officer treat you or the person being searched with respect ?

Yes
No
To some extent

How has this experience affected your confidence in the police?

Increased
Decreased
No Change

Have you been stopped and searched before?

Yes
No

If yes, how many times?

Was the experience better/worse than before?

Better
Worse
No difference
Never been stopped

When using stop and search powers ,what do you think the police should prioritise?

Do you think the police use stop and search power fairly?

Yes
No

If no, why?

In your opinion, do you think stop and search is an effective policing strategy?

Did you comply with the search? *

Please share a positive account of your stop and search experience

Do you know you have a right to complain?

Would you like to make a complaint?

Yes
No
I would like to think about it

Please give a brief description of your reason for the complaint.

Only answer if you are ready to talk about your complaint

Would you like a C&C advocate to support your with your complaint?

Yes
No
I will decide at a later time

Email *

A bad stop and search can have an emotional effect on a person, would you like us to arrange someone you can talk with?

Yes
No
I will see my GP if I need support