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HAVEN Client Feedback Survey
HAVEN Inc. appreciates your willingness to complete this survey.
Your answers will help us learn and grow to better support and improve our services.
1.
I know more about community resources than before utilizing HAVEN services.
Strongly agree
Agree
Disagree
Strongly disagree
2.
Name 3 community resources HAVEN has referred you to
3.
I know more ways to plan for my safety.
Strongly agree
Agree
Disagree
Strongly disagree
4.
Staff treated me with respect
Strongly agree
Agree
Disagree
Strongly disagree
5.
Staff had conversations with me about my safety/needs
A great deal
A lot
A moderate amount
A little
None at all
6.
Staff had conversations with me about my child(ren)s safety/needs
A great deal
A lot
A moderate amount
A little
None at all
N/A
7.
Staff respected my spiritual/religious beliefs
Strongly agree
Agree
Disagree
Strongly disagree
8.
Staff accommodated my disability
Strongly agree
Agree
Disagree
Strongly disagree
N/A
9.
Staff respected my sexual orientation
Strongly agree
Agree
Disagree
Strongly disagree
10.
Help us better serve survivors by providing an experience you had with HAVEN or comments.