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* 1. What city do you live in?

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* 2. Which services at Walnut Avenue have you used?

General Experience

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* 3. I feel less stress and have fewer barriers to my safety, since receiving support.

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* 4. I feel respected and supported by staff.

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* 5. Staff understand that I know what's best for me

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* 6. Staff respect the strengths I have gained through my life experience.

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* 7. I feel that staff respect my culture(s), personal identity, and/or lived experiences (e.g. my gender, race or ethnicity, age, disability, faith, etc).

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* 8. Strengths I bring to my relationships with my children, my family or others are recognized in the programs at Walnut Avenue I have used.

Advocacy

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* 9. I gained a better understanding of the dynamics of domestic violence.

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* 10. I feel like I have a better understanding of my options and strategies to manage my immediate needs (e.g. safe coping, physical safety).

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* 11. I received helpful information about other services.

Food Pantry Program

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* 12. I am satisfied with the amount and type of food I get in the weekly food bags.

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* 13. Being able to receive food and other items from Walnut Avenue helps reduce stress in my household.

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* 14. How have our services impacted you?

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* 15. What could we be doing better? Please provide as much detail as you feel comfortable doing so.

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