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Please fill in the form below or click here to download the survey and post it back to us
Question 1: Over the last 12 months have you witnessed any unacceptable verbal abuse or interference from the parents or spectators of a youth football match in which you or your child/players were involved?
Yes No
Question 2: Over the last 12 months have you witnessed any unacceptable verbal abuse aimed at any match officials of a youth football match, from the touchlines or from the players?
Question 3: Over the last 12 months have you experienced or witnessed any form or match-related physical violence involving parents or spectators on the touchline related to a match?
Question 4: Have you personally experienced any of the following (tick boxes as applicable)
Part One: Verbal abuse
Part Two: Physical Abuse
Question 5: How frequently do you hear a referee being abused by spectators/parents at a youth football match?
Question 6: How big a problem is verbal and/or referee abuse or interference for your team or club?
Question 7: Who do you feel should be taking the lead in stamping out the problem of verbal and physical abuse in youth football?
Question 8: How strongly do you agree/disagree with the following statement: Witnessing professional footballers' negative behaviour directly influences a youth football player's own behaviour.
Strongly Disagree
Strongly Agree
Your Shout: Let us know about incidents of abuse that have shocked you, your solutions and your worries and/or concerns.
Name
Address 1
Address 2
Town/City
County
Postcode
Sex
Date of Birth
Email Address
Contact Number
Team, League and/or name
Personal Role eg parent, referee, club official