Domestic Abuse Survey

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1. What is your gender?

What is your gender?

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2. Where do you live?

Where do you live?

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3. Have you, or has someone close to you experienced domestic abuse?

Have you, or has someone close to you experienced domestic abuse? Yes, myself

Yes, someone close

4. Glyndwr Women's Aid want to expand their service within the rural areas of Corwen, Ruthin and Llangollen. Would you access or recommend this service?

Glyndwr Women's Aid want to expand their service within the rural areas of Corwen, Ruthin and Llangollen. Would you access or recommend this service? yes

maybe

5. Glyndwr Women's Aid intend to make their service more accessible to the Welsh-speaking community. Would you or someone you know benefit from this service?

Glyndwr Women's Aid intend to make their service more accessible to the Welsh-speaking community. Would you or someone you know benefit from this service? Yes

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6. Glyndwr Women's Aid wish to expand their current service. Please could you indicate which services you, or someone you know, may access?

Glyndwr Women's Aid wish to expand their current service. Please could you indicate which services you, or someone you know, may access? Advocacy

Counselling

Healthy Eating Course

Parenting Programme

Family trips

Basic Skills Course

Freedom Programme

Assistance to return to education

Assistance to return to work

7. If you, or someone you know, wanted to access the services of Glyndwr Women's Aid, what time of day would suit you best?

If you, or someone you know, wanted to access the services of Glyndwr Women's Aid, what time of day would suit you best? Early Morning

Day Time

Evening

Weekend

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8. If you, or someone you know, has accessed Glyndwr Women's Aid, please could you rate the service received?

	poor	average	good	excellent	N/A
Service received in Refuge	*If you, or someone you know, has accessed Glyndwr Women's Aid, please could you rate the service received? Service received in Refuge poor	Service received in Refuge average	Service received in Refuge good	Service received in Refuge excellent	Service received in Refuge N/A
Service received in Community	Service received in Community poor	Service received in Community average	Service received in Community good	Service received in Community excellent	Service received in Community N/A

Other (please specify)

9. If you are an agency and have accessed the service of Glyndwr Women's Aid, please could you rate the service?

	poor	fair	good	excellent	N/A
Information Provided about our service	*If you are an agency and have accessed the service of Glyndwr Women's Aid, please could you rate the service? Information Provided about our service poor	Information Provided about our service fair	Information Provided about our service good	Information Provided about our service excellent	Information Provided about our service N/A
Level of response to your query	Level of response to your query poor	Level of response to your query fair	Level of response to your query good	Level of response to your query excellent	Level of response to your query N/A
Usefulness of information given	Usefulness of information given poor	Usefulness of information given fair	Usefulness of information given good	Usefulness of information given excellent	Usefulness of information given N/A

10. Do you have any other comments?

Do you have any other comments?

Domestic Abuse
Exit this survey

1. Default Section

*
1. What is your gender?

*
2. Where do you live?

*
3. Have you, or has someone close to you experienced domestic abuse?

4. Glyndwr Women's Aid want to expand their service within the rural areas of Corwen, Ruthin and Llangollen. Would you access or recommend this service?

5. Glyndwr Women's Aid intend to make their service more accessible to the Welsh-speaking community. Would you or someone you know benefit from this service?

*
6. Glyndwr Women's Aid wish to expand their current service. Please could you indicate which services you, or someone you know, may access?

7. If you, or someone you know, wanted to access the services of Glyndwr Women's Aid, what time of day would suit you best?

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8. If you, or someone you know, has accessed Glyndwr Women's Aid, please could you rate the service received?

9. If you are an agency and have accessed the service of Glyndwr Women's Aid, please could you rate the service?

10. Do you have any other comments?

Domestic AbuseExit this survey

1. Default Section

*1. What is your gender?

*2. Where do you live?

*3. Have you, or has someone close to you experienced domestic abuse?

4. Glyndwr Women's Aid want to expand their service within the rural areas of Corwen, Ruthin and Llangollen. Would you access or recommend this service?

5. Glyndwr Women's Aid intend to make their service more accessible to the Welsh-speaking community. Would you or someone you know benefit from this service?

*6. Glyndwr Women's Aid wish to expand their current service. Please could you indicate which services you, or someone you know, may access?

7. If you, or someone you know, wanted to access the services of Glyndwr Women's Aid, what time of day would suit you best?

*8. If you, or someone you know, has accessed Glyndwr Women's Aid, please could you rate the service received?

9. If you are an agency and have accessed the service of Glyndwr Women's Aid, please could you rate the service?

10. Do you have any other comments?

Domestic Abuse
Exit this survey

*
1. What is your gender?

*
2. Where do you live?

*
3. Have you, or has someone close to you experienced domestic abuse?

*
6. Glyndwr Women's Aid wish to expand their current service. Please could you indicate which services you, or someone you know, may access?

*
8. If you, or someone you know, has accessed Glyndwr Women's Aid, please could you rate the service received?