Please complete this survey for yourself and/or your children. If you do not have children, or your children are not receiving services from Embrace, please complete the survey with only yourself in mind. 

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* 1. Please respond to the following statements about emotional and physical safety.

  Yes No Kind of
I now have a safety plan in place for myself and/or my children.
I now have a more ideas for healthy coping skills for myself and/or my children.

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* 2. I feel comfortable connecting with Embrace staff or another safe person in my life.

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* 3. I feel the staff at Embrace respect me and/or my children.

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* 4. The Embrace advocate was helpful and knowledgable regarding the process, and they let me know what the options were.

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* 5. What rating would you give Embrace? (5 stars=perfect rating)

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* 6. The response materials given to me by the Embrace advocate were helpful.

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* 7. The other professionals (e.g. law enforcement, nurses, etc.) were helpful and kind.

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* 8. Other comments about your experience.

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