Outreach Services Survey (non-residential)

Your answers to this survey are confidential. We don’t have a way to know who is taking the survey unless you share identifying information in survey answers. All information collected in this survey will be kept private and will only be used to help Embrace improve support services for survivors.
1.The questions below are asking you to think about your emotional and physical safety since meeting with Embrace staff.
A lot
Some
A little
Not at all
N/A
I know more ways to plan for the physical and emotional safety of me (and my kids). This is sometimes called a safety plan and can include things like knowing more safe people, safe places, and safe options.
I feel I know more healthy ideas on how to stay emotionally safe and cope with trauma in my life.
I know what consent is and how to say “no” if something makes me or my body uncomfortable.
My kids know the violence is not their fault and have safe adults to turn to other than me. (If you don't have kids, mark N/A.)
The Embrace advocate talked with me about my options and made me feel supported in my decisions.
2.The questions below are asking you to think about your knowledge of resources and services available in your community (or online) since meeting with Embrace staff.
A lot
Some
A little
Not at all
I feel like I know more about community resources available.
I feel like I have an increased connection to my community.
I am likely to reach out to Embrace again if I need help.
I feel staff at Embrace respect me as a person.
3.We celebrate the diversity of all people. Please mark all races and ethnicities you identify with:
4.Do you identify as LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer, +)?
5.Do you identify as having a disability? For example, physical, mental, deaf/hard of hearing. This does not have to be a documented diagnosis from a medical provider.
6.If you received flexible financial assistance from Embrace, how has the financial assistance you received impacted your life?
7.Is there any feedback you have or something you’d like to share about what your life has been like since connecting with Embrace?