2012 Jewish Domestic Violence Survey Question Title * 1. In just a few words, please describe your organization’s domestic violence program (when were you founded, the size of your staff, your relationship with the Jewish community, etc.). Question Title * 2. During the past year, approximately how many clients did your organization serve? (Clients are defined throughout the survey as victims/survivors of violence who have received services from your organization and their family members). Women Men Children Teens Seniors (65+) Question Title * 3. Compared to last year, did the number of clients you served increase, decrease, or stay the same? Increase Decrease Stay the Same If you have seen a change, what do you think accounts for this change? Question Title * 4. Are the majority of your clients Jewish? Yes No Question Title * 5. Which categories best describe your clients? Please mark all that apply. Victims of domestic violence Victims of sexual assault Victims of dating violence Victims of trafficking Immigrant victims LGBTQ victims Victims of elder abuse Disabled victims Returning veterans Other (please specify) Question Title * 6. Who refers clients to your organization? Caseworkers Clergy Family and friends Law enforcement Lawyers Mental health professionals Other domestic violence programs Not referred Other Question Title * 7. Please mark all the direct services your organization provides to victims and their families. Batterer’s intervention Counseling services for children and/or teens Crisis hotline Immediate shelter Individual therapy and/or support programs Legal advocacy Medical referrals Specialized services for seniors (65+) Transitional housing Other (please specify) Question Title * 8. Do you provide economic training and/or resources to your clients? Please mark all that apply. Employment training (resume building, interview skills, job skills, etc.) Financial education (budgeting, money management, debt management, etc.) Help with applying for federal and state assistance programs (TANF, Medicaid, housing, etc.) Other (please describe) Question Title * 9. At JWI we are expanding our legislative advocacy around economic security for survivors. What do you think is the most critical financial tool/resource/service that would enable your clients to lead stable lives? Question Title * 10. Does faith play a significant role for your clients? Yes No Please describe. Question Title * 11. What particular challenges or obstacles have you faced in regards to partnering with faith communities? Question Title * 12. Is elder abuse, whether committed by a family member, spouse or intimate partner, or caretaker, a growing problem in your community? Yes No Question Title * 13. Do you offer specific domestic violence-related services to older clients? Yes No Question Title * 14. What are the unique challenges with providing domestic violence services to the elder population? Question Title * 15. Does your agency provide domestic violence services specifically designed for victims who are disabled? Yes No If yes, please describe. Question Title * 16. What are the unique challenges with providing domestic violence services to your clients who have a disability? Question Title * 17. Does your agency provide services specifically designed for victims of domestic who are lesbian, gay, bisexual, and/or transgender? Yes No If yes, please describe. Question Title * 18. Please describe any major challenges your organization/agency faces in providing domestic violence services to lesbian, gay, bisexual, and/or transgender victims. Question Title * 19. Does your organization conduct community programming related to domestic violence? If so, please mark all that apply. Domestic violence education Teen dating violence/healthy relationships General prevention programming Prevention education on college campuses Programming for elder abuse Other (please specify) Question Title * 20. With respect to domestic violence services, are there unmet needs in your community? Yes No Next