Prevention Survey

Thank you so much for taking the time out of your day to complete our survey. This survey has only 9 questions and will take less than 10 minutes of your time.

Child abuse prevention starts with the community. By completing the survey, you are helping us assess agencies and initiatives that align with standards for Child Abuse Prevention created by the National Children's Alliance. Results from the survey will also provide information regarding gaps/limitations in our services regarding prevention.

We plan to disseminate resources gathered from survey results to all those who participate to assist in your work with children and families. Please complete the survey by July 25th to be entered into a drawing to win a $50 gift card to Amazon.

Question Title

1. Your Name (Required.)

Question Title

2. Your Email (Required.)

Question Title

3. Your agency name/jurisdiction(s) served (Required.)

Question Title

4. Please check off all prevention areas your agency focuses on. If your agency provides prevention efforts for a topic not listed, please select "other" and elaborate. Click this link for definitions of each focus area. Definitions may vary within your agency or discipline (Required.)

Body Safety Education

Bullying

Child Sex Trafficking

Child Labor Trafficking

Child Sexual Abuse Material (CSAM)

Children and Teens with Problematic Sexual Behaviors

Commercial Sexual Exploitation of Children

Community Violence

Domestic Violence

Gun Violence and Youth

Internet Safety

Intimate Partner Violence (IPV)

Neglect

Physical Abuse

Sexual Abuse

Strangulation

Teen Dating Violence

Witness to Violence

Other (please specify)

Question Title

5. Please describe any prevention initiatives your staff leads in the focus areas you identified in the previous question. (Required.)

Question Title

6. What needs does your community have in terms of prevention efforts? Including resources in languages other than English (Required.)

Question Title

7. Do you have prevention resources (i.e., suggested websites for caregivers, children, teens and/or professionals) that you can share? Please list below. Including resources in languages other than English (Required.)

Question Title

8. Do you have prevention resources (i.e., handouts for caregivers, children, teens and/or professionals) that you can share? Please upload below.
Including resources in languages other than English (Required.)

Question Title

9. Are there staff members of your agency that are members of a local Trauma-Informed Community Network/Community Resilience Network? If yes, which network? Please describe staff involvement. If not, please share about interest among staff and/or barriers to participating. (Required.)

Prevention Survey

Question Title

* 1. Your Name (Required.)

Question Title

* 2. Your Email (Required.)

Question Title

* 3. Your agency name/jurisdiction(s) served (Required.)

Question Title

* 4. Please check off all prevention areas your agency focuses on. If your agency provides prevention efforts for a topic not listed, please select "other" and elaborate. Click this link for definitions of each focus area. *Definitions may vary within your agency or discipline* (Required.)

Question Title

* 5. Please describe any prevention initiatives your staff leads in the focus areas you identified in the previous question. (Required.)

Question Title

* 6. What needs does your community have in terms of prevention efforts? Including resources in languages other than English (Required.)

Question Title

* 7. Do you have prevention resources (i.e., suggested websites for caregivers, children, teens and/or professionals) that you can share? Please list below. Including resources in languages other than English (Required.)

Question Title

* 8. Do you have prevention resources (i.e., handouts for caregivers, children, teens and/or professionals) that you can share? Please upload below. Including resources in languages other than English (Required.)

Question Title

* 9. Are there staff members of your agency that are members of a local Trauma-Informed Community Network/Community Resilience Network? If yes, which network? Please describe staff involvement. If not, please share about interest among staff and/or barriers to participating. (Required.)

1. Your Name (Required.)

2. Your Email (Required.)

3. Your agency name/jurisdiction(s) served (Required.)

4. Please check off all prevention areas your agency focuses on. If your agency provides prevention efforts for a topic not listed, please select "other" and elaborate. Click this link for definitions of each focus area. Definitions may vary within your agency or discipline (Required.)

5. Please describe any prevention initiatives your staff leads in the focus areas you identified in the previous question. (Required.)

6. What needs does your community have in terms of prevention efforts? Including resources in languages other than English (Required.)

7. Do you have prevention resources (i.e., suggested websites for caregivers, children, teens and/or professionals) that you can share? Please list below. Including resources in languages other than English (Required.)

8. Do you have prevention resources (i.e., handouts for caregivers, children, teens and/or professionals) that you can share? Please upload below.
Including resources in languages other than English (Required.)

9. Are there staff members of your agency that are members of a local Trauma-Informed Community Network/Community Resilience Network? If yes, which network? Please describe staff involvement. If not, please share about interest among staff and/or barriers to participating. (Required.)