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Fireworks survey

Please be advised that by completing this form you're not reporting an incident that we can respond to. If you wish to report cruelty, neglect or have seen an animal in urgent need you must call 0300 1234 999 to make your report.

Please can you provide the first four letters/numbers of your postcode and describe the type of location you believe the fireworks are coming from:*

Please provide the time and date of the incident:*

Please choose what type of firework event you believe caused the problem:*

Did you have advance warning that fireworks would be set off?*

How were you warned?*

If you reported this incident please can you state to who to?*

If other, please specify:*

What type of animals did the incident involve (e.g. cat, dog, rabbits, horses)?*

Please can you provide a description of the fireworks incident and the impact it had on the animals concerned? For example, what happened, how the animal responded, whether any animal was injured or killed, how long their behaviour changed for...*

If you have sought support or help for your animal's fear response, can you indicate where from (e.g. vet, clinical behaviourist, website)?*

If any of these sources were useful, can you indicate which one?*

Was this incident captured on video?*

Would you be happy to be contacted by us about your experience?*

If you're happy to be contacted, please provide relevant contact details below (excluding email as we'll ask for this at the submission step next):*

Please tick this box to receive our emails about animal welfare campaigning, rescue stories, news of the work we do and appeals (by ticking this box you confirm you're 18 or over).*

The information you share within this form will be stored securely on a password protected web application. The partial postcode data you provide will be used to map and monitor firework incidents impacting animal welfare across England and Wales.

We will also monitor this data to understand as best we are able the actions taken by residents to report incidents. Hotspot locations and numerical statistics may be shared with local authorities or organisations responsible for the regulation of fireworks (BEIS) to inform local and national policy.

Any case studies provided with consent to contact will not be used without your express permission and sign off and if used could be shared in the media, print press on television and in RSPCA campaign communications.

All information shared with the RSPCA will be kept throughout the lifecycle of the #BangOutOfOrder campaign and then remain on files thereafter should you wish to access those records. Please do not complete this survey if you are under 16 years of age and ask a parent or guardian to submit your report on your behalf.

Fireworks survey

Please be advised that by completing this form you're not reporting an incident that we can respond to. If you wish to report cruelty, neglect or have seen an animal in urgent need you must call 0300 1234 999 to make your report.

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