Thank you for taking the time to complete this survey!  
Your feedback helps us improve our program and services offered, so please answer honestly. 
Furthermore, everything is CONFIDENTIAL unless you choose otherwise!  Thanks again! :-)

* 1. Please indicate the level of assistance you received in each area.

  Yes Somewhat No N/A ?
My advocate listened to my concerns about my situation.
My advocate helped me figure out where I might receive the services I need.  (Referral)
Project SAFE personnel were supportive and informative.
My Advocate helped me figure out how to be safer.
I have more information regarding why/how domestic violence happens.
I received assistance with a protection order.
I received assistance preparing to give court testimony.
I am aware of my rights as a victim of crime.
I am aware that I may be eligible for victim compensation or restitution.
I received assistance filling out victim compensation paperwork.
My advocate explained the next step in the court process for me.
I understand I have the right to submit a victim impact statement.

* 2. Because of the Advocacy/Support Services I received from Project SAFE:   (check all that apply)

* 3. Please indicate the selection that best describes your experience:

  N/A Yes Somewhat No
I was treated with respect.
Staff was caring and supportive.
We spent sufficient time discussing my safety.
My religious/spiritual beliefs were respected.
My sexual orientation was respected.
My racial/ethnic background was respected.
Any special needs related to disability were addressed.
Any special needs related to my age were addressed.

* 4. Overall, my experience with Project SAFE has been:

* 7. Do you have any comments, questions or concerns regarding your experience with our Program or Staff?

* 8. Thank you for taking time to complete our survey!
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