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* 1. In respect to your contact with DVCS can you please rate your satisfaction with the following

  Very Satisfied Satisfied Neutral Dissatisfied Very dissatisfied Not Applicable
Our attention to your safety requirements
Our sensitivity and respect for your cultural identity, disability, family or specific individual needs
Our responsiveness and willingness to provide support

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* 2. Please rate your satisfaction with the information provided to you by DVCS

  Very satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Not Applicable
Easy to understand
Relevant to your needs

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* 3. Please rate your satisfaction with regard to the overall assistance and support you received from DVCS

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* 4. Do you have any further feedback, comments or suggestions you would like to provide, if so what are they:

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* 6. Would you like to receive the monthly DVCS Client Newsletter?  If yes, please ensure you include your Name and Email address so we can confirm you are a client. 

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