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ID Sexual Assault Services Feedback Form
Thank you for taking a moment to fill out this short ATVP survey. Your answers are confidential and help inform our services. We greatly appreciate your feedback. Please start with the survey now by clicking on the Continue button below.
What type(s) of support did you use? Check all that apply
Emotional
Protection Order
Crime Victim Compensation
Legal Information & assistance
Medical
Other
How long have you been working with us?
Less than 1 month
2-6 months
6-12 months
12 months or more
Based on the services you have received, do you feel that you:
Yes
No
Know more ways to plan for your safety.
Yes
No
Know more about community resources.
Yes
No
What services have been most helpful to you, and why?
How do you feel about the support we have offered you?
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
The staff were respectful
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
The staff were caring
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
The staff were supportive
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
The staff were knowledgeable
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
I was comfortable with staffs' level of ability
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
I am more informed about my options
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
I am more informed about my legal rights and options
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
The referrals the staff provided were helpful
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
I feel comfortable using ATVP's services in the future
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
I would refer ATVP to others
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
Were there problems with the services you received, or were there services you needed that we were not able to provide? If so, please explain.
Is there anything else you would like to let us know about our services?
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