Feedback Survey on Public Programs and Services for Women and Girls by Cuso International and Global Affairs Canada

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* 1. What is your age group?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 2. How do you identify your gender?

Male

Female

Non-binary

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* 3. What is your current socio-economic status?

Low income

Lower-middle income

Middle income

Upper-middle income

High income

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* 4. Which of the following best describes your ethnicity?

Afro Caribbean

Black

Indian

Afro Indian

Mixed

Asian

Other (please specify)

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* 5. How do you identify regarding your ability?

I have no disabilities

I have a physical disability

I have a cognitive or mental health condition

I have a sensory disability (e.g., visual or hearing)

I have a chronic illness

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* 6. Which country are you participating from?

Grenada

St. Vincent

St. Lucia

Dominica

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* 7. What government/public programs and/or services for women and girls have you used/accessed in the last 3-6 months?

Counseling or mental health services

Emergency shelter or safe housing

Legal support or advocacy

Medical services (e.g., treatment for injuries)

Support groups or community resources

Reporting or law enforcement services

Financial assistance or job training

Educational resources

Other (please specify)

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* 8. How frequently do you use public programs and response services available to women and girls?

Daily

Weekly

Monthly

Rarely

Never

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* 9. How accessible do you find public programs and response services for women and girls?

Very accessible

Accessible

Neutral

Inaccessible

Very inaccessible

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* 10. How satisfied are you with the quality of public programs and response services for women and girls you have received in the last 6-12 months?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

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* 11. To what extent do you believe improvements are necessary to enhance the responsiveness of these programs and services for women and girls

Essential improvements needed

Some improvements needed

Neutral

Minor improvements needed

No improvements needed

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* 12. How much has your life improved as a result of a public program or response service for women and girls?

Significantly improved

Somewhat improved

No change

Somewhat worsened

Significantly worsened

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* 13. Are there any programs or services you believe should be offered but currently are not?

Yes

If Yes, what do you believe is missing? and why do you think they are needed?

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* 14. How would you rate your overall quality of life?

Very poor

Poor

Fair

Good

Very good

Excellent

Prefer not to say

Feedback Survey on Public Programs and Services for Women and Girls by Cuso International and Global Affairs Canada

Question Title

* 1. What is your age group?

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* 2. How do you identify your gender?

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* 3. What is your current socio-economic status?

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* 4. Which of the following best describes your ethnicity?

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* 5. How do you identify regarding your ability?

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* 6. Which country are you participating from?

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* 7. What government/public programs and/or services for women and girls have you used/accessed in the last 3-6 months?

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* 8. How frequently do you use public programs and response services available to women and girls?

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* 9. How accessible do you find public programs and response services for women and girls?

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* 10. How satisfied are you with the quality of public programs and response services for women and girls you have received in the last 6-12 months?

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* 11. To what extent do you believe improvements are necessary to enhance the responsiveness of these programs and services for women and girls

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* 12. How much has your life improved as a result of a public program or response service for women and girls?

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* 13. Are there any programs or services you believe should be offered but currently are not?

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* 14. How would you rate your overall quality of life?

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* 15. Is there any other feedback you would like to share on government/public programs or services?

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* 16. What is your mobile number?

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* 17. Who is your mobile service provider?