1. Name of Pubwatch:

2. How many premises in the watch?

3. How many years in existence: 1 2 3 4 5 6 7

4. What type of premises are involved in the Pubwatch? (Please check all that apply)

Pubs Hotels    Off-Licenses    Taxi Companies   

Clubs   Bars   Restaurants Other (please specify):

5. How are you funded? (Please check all that apply)

Subscriptions   

Grants from Local Authority

Grants from Crime Prevention Panels

Company Donations

Sponsors

Other (please specify):

6. Does your watch have Indemnity Insurance? Yes No

7. Is pubwatch a license condition in your area?

8. What is your licensing authority?


9. Have you at any stage evaluated the achievements of your watch as to how much it reduced violence and disorder related crimes for the area of the watch?

10. By what did you succeed in reducing crime & disorder?

10% 20% 30% 40% 50% 60% 70% 80% 90%

11. If you are happy to provide further information about your success, please provide a name and contact number for a Committee member to make contact with you.

Name:          Contact Number:

12. Who is the Member of Parliament for your Pubwatch area?

Name:          Constituency Name:

13. Is your local MP aware of the existence of your Pubwatch? Yes No
Has the MP attended any of your local meetings? Yes No

14. As far as your Pubwatch members are concerned what are the issues that currently concern them? (check all boxes that apply)

Please specify: