1. Client Satisfaction Survey

Please answer this survey if you have been a client of Help Restore Hope Center non-residential services. Non-residential services may include but are not limited to advocacy services, therapy, support group, and accompaniment. You can take this survey at any time. We would like to know about your experience with our program.  Your answers to these questions will help us to improve our services.  Please answer honestly -- there are no right or wrong answers.  Your answers are anonymous and very important to us.  When you have finished please click on the "Submit" button at the end of the survey to save and submit your answers. Thank you so much for your time. 
*If taking this survey from a computer or mobile device potentially accessible by others, we encourage you to visit our page regarding Internet Safety at http://www.helprestorehopecenter.org/resources/internet-safety*

* 1. I received the following services from Help Restore Hope Center (please select all that apply):

* 2. Because of the services I have received from Help Restore Hope Center so far (please select all that apply):

Please rate your experiences with Help Restore Hope Center in the following questions #3 - #8.  Select the rating that best describes your feelings about the following statements.
If you would like to talk directly to leadership about your experience(s) with us, we welcome you to also contact the office.

* 3. Staff treated me with respect, were caring, and supportive.

* 4. Staff spent enough time talking to me about my safety.

* 5. Overall, my religious and spiritual beliefs, or lack of these beliefs, were respected.

* 6. Overall, my sexual orientation or gender identity was respected.

* 7. Overall, my racial and ethnic background was respected.  

* 8. Program staff helped address any needs related to my youth or advancing age.  

* 9. (Optional) If it is safe to, and you are interested in sharing, would you like to share your survivor story with us? Help Restore Hope Center shares survivor experience stories to help spread a message of hope.  Tell us a little about your experience.  Or, leave your contact information including a name or nickname, and a phone number (including area code) where we can contact you, if you would like.Thank you for your consideration!