{"text_format":"1","workbook":"xls","n_sheets":1,"sheets":["DV Risk Assessment"],"not_rendered":{"charts":0,"images":1,"macros":0,"external_links":1,"defined_names":3,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900","formulas":"cached_only"}

{"sheet":"DV Risk Assessment","index":0,"n_rows":116,"n_cols":41,"rows_kept":116,"cut":false,"hidden":false,"merged":[[58,1,58,26],[70,4,70,22],[0,6,0,33],[5,1,5,3],[108,1,108,5],[1,6,4,6],[1,7,1,32],[2,7,2,32],[58,27,58,29],[52,1,52,26],[47,1,47,26],[47,27,47,29],[49,27,49,29],[103,14,103,38],[101,1,101,15],[52,36,52,38],[53,1,53,26],[53,27,53,29],[53,33,53,35],[53,36,53,38],[28,33,28,35],[28,36,28,38],[49,1,49,26],[51,33,51,35],[52,33,52,35],[46,1,46,26],[46,27,46,29],[48,1,48,26],[48,27,48,29],[51,1,51,26],[44,1,44,26],[44,27,44,29],[44,33,44,35],[44,36,44,38],[45,1,45,26],[45,27,45,29],[26,27,26,29],[26,33,26,35],[17,27,17,29],[20,1,20,26],[20,27,20,29],[26,36,26,38],[22,27,22,29],[24,1,24,26],[24,27,24,29],[19,1,19,26],[104,16,105,38],[100,16,102,38],[99,1,99,38],[16,1,16,26],[18,1,18,26],[17,36,17,38],[58,33,58,35],[58,36,58,38],[25,1,25,38],[26,1,26,26],[16,36,16,38],[18,36,18,38],[18,33,18,35],[16,33,16,35],[17,33,17,35],[10,1,10,38],[11,1,11,26],[18,27,18,29],[16,27,16,29],[17,1,17,26],[19,27,19,29],[22,1,22,26],[11,27,11,29],[11,33,11,35],[11,36,11,38],[70,30,70,38],[12,1,12,26],[12,27,12,29],[12,33,12,35],[12,36,12,38],[13,1,13,26],[13,27,13,29],[13,33,13,38],[14,1,14,26],[14,27,14,29],[14,33,14,35],[14,36,14,38],[15,1,15,26],[15,27,15,29],[19,33,19,35],[19,36,19,38],[3,7,3,32],[4,7,4,32],[1,33,4,33],[5,30,5,38],[5,23,5,29],[5,4,5,22],[20,33,20,35],[20,36,20,38],[21,1,21,26],[21,27,21,29],[21,33,21,35],[21,36,21,38],[23,1,23,26],[23,27,23,29],[68,21,68,38],[68,18,68,20],[27,1,27,26],[27,27,27,29],[27,33,27,35],[27,36,27,38],[28,1,28,26],[28,27,28,29],[29,1,29,38],[30,1,30,26],[30,27,30,29],[30,33,30,35],[30,36,30,38],[68,1,68,17],[31,1,31,26],[31,27,31,29],[31,33,31,35],[31,36,31,38],[32,1,32,26],[32,27,32,29],[32,33,32,35],[32,36,32,38],[33,1,33,26],[33,27,33,29],[33,33,33,35],[33,36,33,38],[34,1,34,26],[34,27,34,29],[34,33,34,35],[34,36,34,38],[35,1,35,26],[35,27,35,29],[35,33,35,35],[35,36,35,38],[39,1,39,26],[39,27,39,29],[39,33,39,35],[39,36,39,38],[36,1,36,26],[36,27,36,29],[36,33,36,35],[36,36,36,38],[37,1,37,26],[37,27,37,32],[43,27,43,29],[40,1,40,26],[40,27,40,29],[40,33,40,35],[43,33,43,38],[41,33,41,38],[40,36,40,38],[41,1,41,26],[41,27,41,29],[115,1,115,17],[115,18,115,20],[115,21,115,38],[106,1,106,38],[50,1,50,26],[50,27,50,29],[50,33,50,35],[77,1,77,26],[77,27,77,29],[103,1,104,1],[50,36,50,38],[54,1,54,26],[54,27,54,29],[54,33,54,35],[54,36,54,38],[55,1,55,26],[55,27,55,32],[51,36,51,38],[51,27,51,29],[52,27,52,29],[56,1,56,38],[57,1,57,26],[57,27,57,29],[57,33,57,35],[57,36,57,38],[55,33,55,38],[59,1,59,26],[59,27,59,29],[59,33,59,35],[59,36,59,38],[60,1,60,26],[60,27,60,29],[60,33,60,38],[61,1,61,26],[61,27,61,29],[62,1,62,26],[62,27,62,29],[63,1,63,26],[63,27,63,29],[63,33,63,35],[63,36,63,38],[64,1,64,38],[108,6,108,20],[108,21,108,23],[108,24,108,38],[65,1,65,26],[65,27,65,29],[65,33,65,35],[65,36,65,38],[66,1,66,26],[66,33,66,35],[66,36,66,38],[70,1,70,3],[69,1,69,4],[69,5,69,34],[69,35,69,38],[70,23,70,29],[75,1,75,26],[75,27,75,29],[76,1,76,26],[76,27,76,29],[109,1,109,3],[109,21,109,23],[78,1,78,26],[78,27,78,29],[79,1,79,26],[79,27,79,29],[109,4,109,20],[109,24,109,38],[110,1,110,4],[110,5,110,20],[80,1,80,26],[80,27,80,29],[81,1,81,26],[81,27,81,29],[110,21,110,23],[110,24,110,25],[110,26,110,27],[110,28,110,29],[84,1,84,26],[84,27,84,32],[85,1,85,23],[85,24,85,32],[88,1,88,38],[89,1,89,38],[90,1,90,38],[91,1,91,38],[82,1,82,26],[82,27,82,29],[83,1,83,26],[83,27,83,29],[86,1,86,38],[87,1,87,38],[92,1,92,38],[93,1,93,38],[94,1,94,38],[95,1,95,38],[96,1,96,38],[97,1,97,38],[98,1,98,38],[100,2,100,7],[100,8,100,11],[102,2,102,7],[102,8,102,11],[107,1,107,38],[103,2,104,7],[103,8,104,11],[103,12,104,12],[105,1,105,15],[114,1,114,38],[113,30,113,32],[113,1,113,8],[111,1,111,38],[112,1,112,38],[113,33,113,38],[110,30,110,38],[113,9,113,29],[76,33,76,38],[75,33,75,38],[62,33,62,35],[62,36,62,38],[67,27,67,32],[66,27,66,29],[71,30,71,38],[78,33,78,38],[48,33,48,35],[37,33,37,38],[15,33,15,38],[22,33,22,38],[23,33,23,38],[24,33,24,38],[47,33,47,35],[45,33,45,38],[46,33,46,38],[38,1,38,38],[49,33,49,35],[49,36,49,38],[82,36,82,38],[48,36,48,38],[47,36,47,38],[42,1,42,38],[43,1,43,26],[61,33,61,38],[67,33,67,38],[67,1,67,26],[77,33,77,38],[85,33,85,38],[84,33,84,38],[83,33,83,38],[81,33,81,38],[80,33,80,38],[79,33,79,38],[82,33,82,35],[8,36,8,38],[9,36,9,38],[0,1,4,5],[0,34,4,38],[9,1,9,29],[7,30,7,38],[6,1,8,29],[8,30,9,32],[8,33,9,35],[6,30,6,38],[71,1,73,29],[72,30,72,38],[73,30,74,32],[73,33,74,35],[73,36,73,38],[74,36,74,38],[74,1,74,29]],"flags":["formulas_cached_only"]}
[null,null,null,null,null,null,"\nDOMESTIC VIOLENCE RISK ASSESSMENT"]
[null,null,null,null,null,null,null," An assessment of risk to victims of domestic/family violence must include consideration of:\n\n\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Y - <14 days"]
[null,null,null,null,null,null,null," - the victim's own assessment of their safety and risk levels",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Y - >14 days"]
[null,null,null,null,null,null,null," - identification of factors which indicate an increased likelihood of reoccurence of violence",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," N"]
[null,null,null,null,null,null,null," - the professional judgement of the assessor"]
[null," Victim:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency / File No.:"]
[null,"** All fields shaded grey contribute to the risk assessment score \nirrespective of when the factor occurred.  Only put one score per box **"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Presence of factor"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes/No \n(Y/N)",null,null,"In past \n14 days"]
[null," SECTION A - OFFENDER",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"> 14 days"]
[null," Behaviour:"]
[null," Has threatened to assault/harm the victim",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has threatened to use a weapon (including firearm) against the victim",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has threatened to kill the victim",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Has physically assaulted the victim",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has physically used a weapon (including firearm) against the victim during an assault",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Has assaulted the victim outside of the home environment",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has breached an intervention/restraining order",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has held a victim against their will in a location or otherwise impeded their freedom",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has used violence/threats of violence against other family members",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has used violence/threats of violence against non-family members",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has harmed or threatened to harm family pets/other animals",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has threatened or attempted suicide",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Has a prior arrest for murder/manslaughter/rape or sexual assault",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Has a history of domestic violence against a previous partner(s)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Personality Characteristics:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null," Is highly controlling/manipulative",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Attitude and/or cultural beliefs support violence towards women/children/elderly",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has demonstrated a sudden change in personality or behaviour",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Situational Factors",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null," Has access to firearms",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is unemployed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Drug and/or alcohol misuse/dependency present",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Experiences depression or has other mental health issues",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is not taking prescribed medication",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is experiencing financial problems, not normal to the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has witnessed or experienced violence in their 'family of origin' (as a child/during upbringing)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," SECTION B - VICTIM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Subtotal (A)",null,null,null,null,null,"",null,null,null,null,null,0,0]
[null," Perceptions / Beliefs:"]
[null," Expresses/indicates through actions that they are afraid of the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Expresses/indicates through actions that their level of fear of the offender is extreme (feels terror)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Believes the offender is capable of killing victim/children",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Vulnerability Factors:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null," Victim reports an escalation in the seriousness and/or frequency of the violence",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Victims injuries are not consistent with the explanation/account of the incident",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is isolated (geographic reasons/actions of offender to restrict contact with family or friends)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Is isolated for cultural reasons (lack of support from cultural community)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Experiences depression or has other mental health issues",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Verbalised or had suicidal ideas, or tried to commit suicide",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Drug and/or alcohol misuse/dependency present",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has a disability or frailty which impairs physical activity/mobility",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Has a disability or frailty which impairs cognitive/sensory functioning (deaf, intellectual, dementia)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is financially dependent on the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is dependent on the offender for their physical care (illness/infirmity/age/dementia/disability)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Is dependent on the offender for their residential status in this country",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," SECTION C - CHILDREN",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Subtotal (B)",null,null,null,null,null,"",null,null,null,null,null,0,0]
[null," Vulnerability Factors:"]
[null," Present at, or witness to, incidents of violence",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Under school age (not yet commenced primary school)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Subject to threats of harm from the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Subject to actual harm/assault from the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Subject of threats to kill from the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Offender has access to children (is aware of where they live/attend school/shared care/contact)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Child from another relationship in the home",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Perceptions / Beliefs:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null," Expresses/indicates through actions that they are afraid of the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Refusing or stating unwillingness to have contact with the offender",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Subtotal (C)",null,null,null,null,null,"",null,null,null,null,null,0,0]
[null,"Revised: 13/10/2014",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Page 1 of 2"]
[null,null,null,null,null,"DOMESTIC VIOLENCE RISK ASSESSMENT"]
[null," Victim:",null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency / File No.:",null,null,null,null,null,null,""]
[null,"** All fields shaded grey contribute to the risk assessment score \nirrespective of when the factor occurred.  Only put one score per box **"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Presence of factor"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes/No \n(Y/N)",null,null,"In past \n14 days"]
[null," SECTION D - INTIMATE PARTNERS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"> 14 days"]
[null," Victim is pregnant or there has been a recent birth in the family (child under 12 months)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," There has been a recent separation or the victim wishes to separate",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," There is an actual or perceived new partner in the victim's life",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Offender has strangled or choked the victim during an assault",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Offender has used sexual violence or coerced victim into unwanted sexual practices",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Offender has stalked the victim",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Offender appears obsessed with the victim and/or children",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,null,null,null,null,null,"",null,null,null,null,null,""]
[null," Offender appears jealous, bitter or hostile towards the victim and/or children",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,null,null,null,null,null,"",null,null,"",null,null,""]
[null," Offender has recently been denied or restricted access or contact with children",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,null,null,null,null,null,"",null,null,null,null,null,""]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Subtotal (D)",null,null,null,null,null,"",null,null,null,null,null,0,0]
[null,"(Add the scores of the 'In past 14 days' column to determine current risk level)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Risk Score Total:",null,null,null,null,null,null,null,null,""]
[]
[null," VICTIMS OWN ASSESSMENT OF THEIR SAFETY AND RISK LEVELS"]
[null," 1.   How frequently and seriously does the offender intimidate, threaten or injure you and/or your children?"]
[]
[null," 2.   Describe the most frightening event/worst incident of violence suffered at the hands of the offender?"]
[]
[null," 3.   How has the offender's behaviour impacted on your safety and the safety of your children?"]
[]
[]
[null," Worker's comments as to any other factors / circumstances which may affect the level of risk"]
[]
[]
[null," OVERALL ASSESSED RISK - PAST 14 DAYS"]
[]
[null,null,"Standard",null,null,null,null,null,"0 - 23",null,null,null,null,"",null,null,"A score of standard or medium risk may be overridden through the exercise of professional judgement, if you believe a victim to be at a higher level of risk.  In these instances, provide a brief explanation in the Worker's comments above.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[]
[null,null,"Medium",null,null,null,null,null,"24 - 44",null,null,null,null,"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[null,null,"High",null,null,null,null,null,"45 +"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"",null,null,"If you select this box, please consider the QUESTION OF IMMINENCY required for referring to a Family Safety Meeting.  Take all immediate steps to mitigate the high risk.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,""]
[]
[null,"<Agency specific instructions can be added here>"]
[]
[null," Worker Name:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency:"]
[null," Email:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Phone:"]
[null," Signature:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date:"]
[]
[]
[null," Supervisor's Signature:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date:",null,null,"        /        /"]
[]
[null,"Revised: 13/10/2014",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Page 2 of 2"]