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* 1. What is the crime that you experienced?

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* 2. What were the physical injuries and/or psychological harms you suffered as a result of the crime? Please describe.

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* 3. Did you have contact with lawyers (including a Crown Attorney) and/or the police as a result of the crime? If so, please describe your contact with them.

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* 4. Did you have contact with victim services and/or a health care provider as a result of the crime? If yes, please indicate the kinds of victim services with which you had contact and/or the kind of health care provider with whom you had contact.

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* 5. What has been the financial impact of your injuries and/or of the psychological harms you suffered, i.e. how much money have you spent as a result of those injuries or harms?

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* 6. Were you aware that there are financial assistance programs available to victims of crime in Ontario?

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* 7. Were you aware that some victims of crime are eligible for emergency financial assistance through the Victim Quick Response Program (VQRP)? If so, how did you become aware? Did you apply? If not, why not?

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* 8. Were you aware that financial compensation might be available to you through the Criminal Injuries Compensation Board? If so, how did you become aware? Did you apply? If not, why not?

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* 9. If you lost a loved one to homicide, were you aware that families of homicide victims may be eligible for financial assistance through the Financial Assistance for Families of Homicide Victims (FAFHV) program? If so, how did you become aware? Did you apply? If not, why not?

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* 10. Are you willing to be contacted by the Office for Victims of Crime to provide more information on your experience with accessing financial assistance programs for victims of crime?

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