1.Please answer the following questions about your emotional and physical safety.

Yes

No

Kind of

I now have a safety plan in place for myself and/or my children. For example, I now know safe people, safe places, and safe options.

Yes

No

Kind of

I have a better understanding on how to stay emotionally and physically safe.

Yes

No

Kind of

2.I know more about what community resources are available to me.

Yes

No

Kind of

3.I feel staff at Embrace respect me as a person.

Yes

No

Kind of

4.The rules and expectations at the shelter were fair.

Yes

No

Kind of

5.I understand the characteristics of domestic violence and/or sexual assault.

Yes

No

Kind of

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

1 star

2 stars

3 stars

4 stars

5 stars

7.We celebrate the diversity of all people. Please mark all races and ethnicities you identify as:

American Indian or Alaska Native

Southeast Asian

Other Asian

Black or African American

Hispanic or Latinx

Native Hawaiian or other Pacific Islander

White

Multiple Races

Other race not listed 

8.Do you identify as LGBTQ+?

Yes

No

9.Other comments about Embrace.