Protecting Minor Survivor Privacy Pre-Webinar Survey

Thank you for registering for "Protecting the Privacy of Minors Who Are Survivors of Sexual Assault, Dating and Domestic Violence, and Stalking." The presentation is set for August 24, 2018, 10:00 a.m. -- 11:30 a.m. PT. To help us prepare for this webinar and, afterward to see how it went, please answer the following questions.

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* 1. Please tell us a bit about yourself.

Name (first, last):

Organization:

Title:

City/State:

Email address:

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* 2. Select the option that best describes your role with your organization

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* 3. Does your organization receive funding from the Office on Violence Against Women?

Yes

Not sure

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* 4. Does your organization provide confidential services to minor survivors seeking services on their own behalf, e.g., who are not receiving services only because you are serving their parent?

Yes

Not sure

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* 5. Do you, personally, provide confidential services to these minor primary survivors?

Yes

Not Sure

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* 6. What ages of minor primary survivors does your organization service? (Mark all that apply)

0 - 10

11 - 14

15 - 17

We only serve adults

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* 7. What confidential services does your organization provide to minor primary survivors? (Mark all that apply)

Any services we provide to adults

Hotline or other support groups

Individual in-person meetings

Safety planning

Shelter

Accompaniment to forensic exams

Resources and referral

Depends on minor's age

We do not currently offer services to minor survivors

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* 8. Does VAWA allow you to share a client's personally identifying information with a verbal release?

Yes

Not sure

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* 9. Under what circumstances may a VAWA-funded program release a victim's personally identifiable information? (Choose the best answer.)

With a valid verbal or written release of information, or if a statute or court requires the release.

With a valid written release of information, or if a statute or court requires the release.

With a valid verbal or written release of information, or if a court orders the release.

With a valid written release of information, or if mandatory reporting law requires the release.

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* 10. You discuss with a survivor that their records, if released, could seriously damage their hearing/investigation. The survivor wants you to release the records anyway and signs a valid release. Would you release the records?

Definitely yes

Probably yes

Maybe

Probably not

Definitely not

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* 11. Are you a mandatory reporter of child abuse?

Yes

Not sure

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* 12. If you want to talk with us about any of the questions/answers above, or any other privacy-related questions, please provide your contact information below or reach out to us directly at TA@victimrights.org or 503-274-5477.

Question Title

* 1. Please tell us a bit about yourself.

Question Title

* 2. Select the option that best describes your role with your organization

Question Title

* 3. Does your organization receive funding from the Office on Violence Against Women?

Question Title

* 4. Does your organization provide confidential services to minor survivors seeking services on their own behalf, e.g., who are not receiving services only because you are serving their parent?

Question Title

* 5. Do you, personally, provide confidential services to these minor primary survivors?

Question Title

* 6. What ages of minor primary survivors does your organization service? (Mark all that apply)

Question Title

* 7. What confidential services does your organization provide to minor primary survivors? (Mark all that apply)

Question Title

* 8. Does VAWA allow you to share a client's personally identifying information with a verbal release?

Question Title

* 9. Under what circumstances may a VAWA-funded program release a victim's personally identifiable information? (Choose the best answer.)

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* 10. You discuss with a survivor that their records, if released, could seriously damage their hearing/investigation. The survivor wants you to release the records anyway and signs a valid release. Would you release the records?

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* 11. Are you a mandatory reporter of child abuse?

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* 12. If you want to talk with us about any of the questions/answers above, or any other privacy-related questions, please provide your contact information below or reach out to us directly at TA@victimrights.org or 503-274-5477.

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* 13. What questions about providing confidential services to minor survivors do you hope we will address during the webinar?