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Here for You Community Participant Survey

1.Please select your city:(Required.)
2.Name of Organization:(Required.)
3.Who would be the best person to follow up with about trainings and resources? Please include their name and email address.
4.During our event, we discussed the various needs of survivors of domestic abuse. Please select the needs that your organization can fulfill:
5.How effective was the initial program in increasing your understanding of the needs of Jewish survivors of domestic abuse?
6.Please rate your level of agreement with the following statements:
Strongly Disagree
Somewhat Disagree
Neutral (Neither Agree nor Disagree)
Agree
Strongly Agree
I understand the barriers that survivors face and ways to help overcome those barriers.
I am aware of ways to make my organization a more welcoming space for survivors of domestic abuse.
7.Which actions do you plan to take following this workshop? (Select all that apply)
8.What areas of the discussion do you feel could be improved?
9.Are you interested in any additional resources or workshops? Select all that apply.
10.Are there any additional ways you would like to be involved in this initiative?
11.Would you like a certificate of participation? (If yes, please provide your name and email address):
12.Additional Comments