NH Coalition Against Domestic & Sexual Violence

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Before You Begin

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About this Survey

This survey asks questions about the services you have received through a NH crisis center and how beneficial the services have been to you.

  • This anonymous survey takes approximately 5 minutes to complete.
  • The survey does not ask for any information that can identify you or the device you are using.
  • Your responses are voluntary. You can skip any question you do not wish to answer.
  • Completed surveys are compiled by NH Coalition staff and shared only with the crisis center you worked with.

    Thank you for your feedback!
 

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* 1. What crisis center did you work with?

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* 2. How did you hear about the crisis center?

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* 3. Where did you most recently work with an advocate?

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* 4. Are you currently or have you recently lived in the crisis center's shelter?

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* 5. Based on your experience with the crisis center, please indicate what feels true to you:

  Not at all Somewhat A lot Does not apply to me
I feel more hopeful about the future
I know more about community resources I might need
I have more ways to plan for my safety and future
I feel less alone
I know more about systems I may be involved with (legal, DCYF, social services, job training, benefits, etc)
I feel comfortable reaching out in the future or connecting friends who might need support
I have a plan to help me meet my financial and housing needs

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* 6. From your contact with this agency, what community resources were you connected to? (check all that apply)

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* 7. Are there any other concerns, comments, or suggestions that you'd like to share? (please do not include any personally identifiable information like your name, phone number, email, or address) 

0 of 7 answered
 

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