I Received Services
Exit this survey

1. I received services

Thank you for completing this evaluation of the services that you received from Zacharias Sexual Abuse Center. Your anonymous feedback helps us to create better programs for you, your family, your friends, and others in need of our services in the future. Your confidentiality is secure and no individual information will be shared with anyone outside of the agency. Thank you again for your time.

This survey is also available online at:
http://www.surveymonkey.com/s/Z2HRFXL

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I Received Services
Exit this survey

1. I received services

*
1. I live in Lake County

*
2. If you answered yes, where do you live?

*
3. I am

4. I used the following services (please check all that apply)

5. MEDICAL ADVOCACY (answer this section only if you received these support services from our agency)
Overall my medical advocacy experience was

6. The medical advocate (please check all that apply)

7. The medical advocate (please check all that apply)

8. LEGAL ADVOCACY (answer only if you received these services)
Overall my experience working with the legal advocate was

9. The legal advocacte

10. INDIVIDUAL COUNSELING/THERAPY (answer only if you received this service)
Overall my individual counseling experience was

11. My counselor/therapist

12. If a friend needed this type of help I would refer them to Zacharias Sexual Abuse Center for help

13. SUPPORT GROUP (please answer only if you participated in one or more of our support groups)Overall my experiences was

14. The group facilitators

15. SUPPORT LINE (crisis line for 24 hour phone access. please answer only if you have called the crisis line.) Overall my experience(s)was

16. If a friend of mine needed this kind of support I would suggest that they call Zacharias Center's hotline.

17. The person who called me back

18. FAMILY SUPPORT (please answer all that apply)

19. In the space that follows please provide any additional information or comments that you think would be useful for us to know.

We appreciate your time. Thank you very much for completing this survey.

Zacharias Center staff

I Received Services Exit this survey

1. I received services

*1. I live in Lake County

*2. If you answered yes, where do you live?

*3. I am

4. I used the following services (please check all that apply)

5. MEDICAL ADVOCACY (answer this section only if you received these support services from our agency)Overall my medical advocacy experience was

6. The medical advocate (please check all that apply)

7. The medical advocate (please check all that apply)

8. LEGAL ADVOCACY (answer only if you received these services)Overall my experience working with the legal advocate was

9. The legal advocacte

10. INDIVIDUAL COUNSELING/THERAPY (answer only if you received this service)Overall my individual counseling experience was

11. My counselor/therapist

12. If a friend needed this type of help I would refer them to Zacharias Sexual Abuse Center for help

13. SUPPORT GROUP (please answer only if you participated in one or more of our support groups)Overall my experiences was

14. The group facilitators

15. SUPPORT LINE (crisis line for 24 hour phone access. please answer only if you have called the crisis line.) Overall my experience(s)was

16. If a friend of mine needed this kind of support I would suggest that they call Zacharias Center's hotline.

17. The person who called me back

18. FAMILY SUPPORT (please answer all that apply)

19. In the space that follows please provide any additional information or comments that you think would be useful for us to know. We appreciate your time. Thank you very much for completing this survey.Zacharias Center staff

I Received Services
Exit this survey

*
1. I live in Lake County

*
2. If you answered yes, where do you live?

*
3. I am

5. MEDICAL ADVOCACY (answer this section only if you received these support services from our agency)
Overall my medical advocacy experience was

8. LEGAL ADVOCACY (answer only if you received these services)
Overall my experience working with the legal advocate was

10. INDIVIDUAL COUNSELING/THERAPY (answer only if you received this service)
Overall my individual counseling experience was

19. In the space that follows please provide any additional information or comments that you think would be useful for us to know.

We appreciate your time. Thank you very much for completing this survey.

Zacharias Center staff