How Are We Doing?

Please let us know. The approximate length of time to complete the survey will be 5 minutes.

If you have any questions or problems during the survey, please call 352-264-6760 and request to speak to a supervisor.

* 1. The name of the Victim Advocate Counselor that assisted you:

* 2. What type of victimization(s) did you or your loved one experience? (Check all that apply.)

* 3. How did you find out about Victim Services & Rape Crisis Center?

* 4. What service(s) did you receive? (Check all that apply.)

* 5. The Victim Advocate Counselor I spoke with addressed my questions and concerns.

* 6. The Victim Advocate Counselor I spoke with showed concern for my well-being.

* 7. The Victim Advocate Counselor I spoke with made me feel safe and open to talking about my victimization.

* 8. I would use the services again if needed or recommend to a friend.

* 9. How would you rate the program services overall?

* 10. Additional Comments. Please add name and contact information (phone number, email, or mailing address) if you are willing to speak to a supervisor about your feedback.

T