Thank you for taking the time to participate in this survey.

The survey is part of a statewide needs assessment aimed at addressing the needs and concerns of domestic violence survivors across the state of Kentucky. This project is sponsored by the Kentucky Coalition Against Domestic Violence (KCADV). We are interested in better understanding how your access to a wide variety of resources affects your ability to live safe and healthy lives. Examples of resources we will ask about on this survey include food, housing, employment, childcare, healthcare, and your experiences with the court system and social service programs. We are also interested in understanding how COVID-19 has impacted your health and wellbeing. The survey will take approximately 20-25 minutes to complete.

Your participation in this survey is completely voluntary and participation will not affect your ability to receive services from this organization or any other organization. We understand that your personal experiences with domestic violence may affect your comfort level with certain questions. If at any time you feel uncomfortable, you can choose not to answer a question or to exit the survey. The information you share with us will remain confidential. While we are collecting basic demographic information, the information does not contain personal identifiers and will not be traceable to you.

If you have any questions or concerns regarding this survey, please contact Carol Foy cfoy@kcadv.org.

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* 1. My experiences as a survivor affect the types of resources I access and use because I don't feel safe in public.

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* 2. My experiences as a survivor affect the decisions I make for my children and/or family. 

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* 3. Someone is currently preventing me from accessing services.

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* 4. I have someone I can rely on for financial support during times of crisis. 

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* 5. I have someone I can rely on for emotional support during times of crisis. 

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