1. Rape Crisis Center Funding Needs Survey

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* 1. Name of your state (not name of rape crisis center):

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* 2. Check all the areas your program experienced a decrease in funding during the current fiscal year.

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* 3. Check all the areas your program experienced an increase in funding during the current fiscal year.

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* 4. If you received an increase in federal funds, was the increase due in whole or in large part to the VOCA increase?

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* 5. If you answered yes to receiving a federal increase in VOCA, what unmet needs have you been able to address with the VOCA increase?

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* 6. Did your program experience an overall decrease in funding during this fiscal year?

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* 7. Has your center experienced a reduction in staffing in your center's current fiscal year (examples: layoffs, positions left vacant, positions eliminated)?

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* 8. If you answered yes to question No. 4, please answer the following below:

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* 9. Have your center's hours of service decreased in any of the following areas? Check all services that apply.

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* 10. If you currently have a waiting list for services, please answer which services have a waiting list?

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* 11. If you have a waiting list for counseling, what is the:

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* 12. Has there been a recent change in law or policy that has impacted your ability to provide services?

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* 13. If you answered yes to question 10, please describe.

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* 14. What populations are underserved in your service area due to lack of funds at your center? Check all that apply.

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* 15. With current resources, how able are you to provide outreach and education about the availability of your services and prevention activities to underserved areas and populations in your coverage area?

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* 16. Are all survivors in your service area able to access free services of the type they need (examples: counseling, support group, holistic healing services) to address their experience of sexual violence from your center or in your community?

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* 17. How many full-time equivalent staff positions at your center currently provide sexual assault services? (If a staff person only spends a percentage of their time with sexual assault victims, please only include that percentage. Then round the total to the nearest FTE)

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* 18. How many full-time equivalent staff positions are needed at your center to meet the demand for sexual assault services?

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* 19. What is your center's average salary for direct service staff?

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* 20. Please share a success story of how a survivor was helped by receiving services at your program. Please share if this was a survivor from a local campus, military base, incarcerated, youth, or other population. If you want to anonymously share a story in a survivor's own words, please feel free to do so indicating that it is an account directly from a survivor.

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* 21. Please share a story about how limited resources at your center kept you from meeting the needs of a survivor or survivors such as a request for a group that you couldn't provide, an underserved community that needs and does not receive services, a survivor who had to deal with negative life consequences as a result of service limitations, etc.

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* 22. Do you have a Memorandum of Understanding with a campus, military base, and/or prison/jail/detention facility to provide services, prevention, and/or training?

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* 23. If you answered yes to having an MOU in Q20, is payment for your services included in the MOU?

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* 24. If you answered yes to having a funded MOU, please tell us the source of the funding and a few details.

If you answered yes to having an MOU with a campus (paid or unpaid) please send a copy to info@endsexualviolence.org

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* 25. Please share any other information you'd like us to share with policy makers about working at a rape crisis center and supporting survivors.

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