This survey only takes a few minutes. We would like you to complete this form to help us improve the support we provide to victims of domestic abuse. Your responses to the questions will help the Independent Domestic Violence Advocacy (IDVA) Service to work more effectively with all future clients of the service; and to understand what worked well for you and also what else we need to do to improve the service we provide.

Your information will be treated sensitively and kept in accordance with legislation set out in the Data Protection Act 1998 . It is optional as to whether you provide your name or not. All information provided will be treated with strict confidentiality. Any statistics produced will not disclose any name or personal details.

If you have any questions about the form or monitoring process, please contact Mel Francis at the Domestic Recovery and Sexual Violence Recovery Service on 0300 777 4 777 .