Personal Safety
Do you have a spouse or life partner who shares your living space?
Yes
No
Do you have people fitting the following descriptions living with you or on your
property?
Child(ren) below the age of 10
Child(ren) aged between 10 and 18
Child(ren) older than 18
Parent(s)
Worker(s) e.g Domestic worker, Gardener, Au Pair, etc
Tenant(s)
Other person/people not mentioned
None
Which of the following best describes the frequency with which you carry large
amounts of cash?
Everyday
Once a week
Once a month
Seldom
Never
Do you store your valuables, such as your handbag and laptop, out of sight in your
vehicle?
Always
Mostly
Sometimes
Never
Do you carry your valuables, such as cell phone, wallet and jewellery, safely and out of
sight?
Always
Mostly
Sometimes
Never
Vehicle Safety
How many times per week do you drive between midnight and 3am?
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Never
Once or twice a week
3-5 times a week
More than 5 times a week
Which of the following security features does your vehicle have?
Immobilizer
Anti-hijack device
Alarm
Gearlock
Smash-and-grab glass
Microdots
None
Tracking device
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No tracking device
Tracker retrieve
Tracker alert
Tracker Skytrax
Matrix Beam-E
Netstar Sleuth
Netstar Cyber Sleuth Supreme
Nestar Early Warning
Matrix MX1
Matrix MX2
Matrix MX3
Bidtrack Executive
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Bidtrack high alert
Bidtrack track sure
Bidtrack Active
C-Track Secure
C-Track Secure Plus
Cartrack Quick
Cartrack Quick alert
Cartrack Quick Double protect
Cartrack Quick plus
Raptor eagle
Raptor eagle owl
Raptor Hawk
Raptor hawk owl
Netstar phone in
Netstar sleuth plus
I have a tracking device but I am unsure of brand and model
Other
Do you test on an annual basis whether your tracking device is in working order?
Yes
No
How much time do you spend driving per day?
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Less than 15 minutes
15-30 minutes
30-45 minutes
45 minutes - 1hour
1 hour – 1 ½ hour
1 ½ hour or more
How many kilometers do you drive per month?
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Less than 500km
500-750km
750-2000km
2000-3500km
More than 3500km
What method do you use to communicate on the phone while driving?
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Factory fitted device
My vehicle’s car kit
Bluetooth device
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Phone without hands-free kit
I don’t use my phone while driving
Do you regularly service your vehicle?
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Yes, at an approved dealer
Yes, at a mechanic
Yes, other
No
How often do you replace the tyres on your vehicle?
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Annually
More frequently then annual
Every second year
Less frequently the every second year
When absolutely necessary
Do you have any unrepaired chips or cracks in your windscreen?
Yes
No
How often do you check your wiper blades?
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Annually
Service intervals
I only realize that they need replacing when it rains
Never
How often do you check your vehicle's brakes?
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Annually
Service intervals
I only realize that they need replacing when I hear something wrong or strange
Never
Home and Environment Safety
What type of dwelling best describes where you live?
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Cluster
Flat above ground floor
Ground floor flat
Garden cottage
House
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Outbuilding(s)
Park home/Non-mobile caravan
Town house
Other
Which of the following best describes the area in which you live?
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Agricultural holding
Close Suburb
Farm
Nature reserve
Other
Residential suburb
Security village – full title
Security village – sectional title
Security village – Security estate
Which of the following security measures do you have in place?
None
Access control - 24 hours
Access control - Day time only
Access control - Night time only
Alarm only
Alarm with armed response - Dual link
Alarm with armed response - Radio link
Alarm with armed response - Telephone
Burglar bars - All non-opening windows
Burglar bars - All opening windows
Electric fencing all round
Electric fencing all round - Linked
Dogs (weighing more than 10kg)
Dogs (weighing less than 10kg)
Electrically operated gate
Infrared beams all round - Alarm only
Infrared beams all round - Linked
Intruder proof glass - All non-opening windows
Intruder proof glass - All opening windows
Neighborhood watch
Patrols - 24 hours
Patrols - Day time only
Patrols - Night time only
Security gates on all external and sliding doors
CCTV cameras (indoors)
CCTV cameras (outdoors)
External lighting - All round
How often is your house left unoccupied for more than 3 days?
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Every week
Twice a month
Once every 3 months
Once or twice a year
When you leave your house unoccupied for more than 3 days, do you arrange to have a
stay-in house sitter?
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Always
Mostly
Sometimes
Never
When your house is unoccupied for more than 3 days, do you have someone who visits
periodically to check the house/pets etc.?
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Always
Mostly
Sometimes
Never
Are you involved in any Community Policing (neighborhood watch) activities in your
area?
Yes
No
Are there Police, Community Police (neighborhood watch) and/or Security companies
visible in your neighborhood?
Yes
No
Do you have access to a fire extinguisher in or around your home?
Yes
No
How frequently is your electrical system checked for faults?
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Annually
Less frequently than annually
Never
How frequently is your geyser checked for faults?
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Annually
Less frequently than annually
Never
Do you ensure that any power tools, knives, medication, chemicals and weapons are
safely stored in your home?
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Always
Mostly
Sometimes
Never
What precautions/security measures are in place around any swimming pools and
ponds in your home/complex?
Fence
Fence with a locked gate
Safety net
Alarm
I don't have a swimming pool or pond
None
Do you keep a written or electronic inventory of all your belongings?
Yes
No