Toora Women Inc. Exit Survey Coming Home

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* 1. What is your name? (You do not have to tell us, if you would like to remain anonymous)

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* 2. Would you like us to follow up with you about your feedback? If so, please let us know what is the best way to contact you.

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* 3. Which Coming Home service did you use?

Viv's Place

Outreach in the AMC

Residential Outreach

Did you use any other Toora services? (Please specify)

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* 4. When did you last use the service?

Within the last week

Within the last month

Within the last 3 months

Over 3 months ago

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* 5. What was one thing that you found the most helpful about the service(s)

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* 6. What was one thing that we could have done better?

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* 7. Have you noticed any improvement in your life in these areas?

	None	A little	A fair bit	A lot
Mental Health	Mental Health None	Mental Health A little	Mental Health A fair bit	Mental Health A lot
Understanding your addiction	Understanding your addiction None	Understanding your addiction A little	Understanding your addiction A fair bit	Understanding your addiction A lot
Quality of life	Quality of life None	Quality of life A little	Quality of life A fair bit	Quality of life A lot
Ability to engage effectively with services	Ability to engage effectively with services None	Ability to engage effectively with services A little	Ability to engage effectively with services A fair bit	Ability to engage effectively with services A lot
Making goals	Making goals None	Making goals A little	Making goals A fair bit	Making goals A lot
Self care	Self care None	Self care A little	Self care A fair bit	Self care A lot
Creating a safe network	Creating a safe network None	Creating a safe network A little	Creating a safe network A fair bit	Creating a safe network A lot
Using problem solving techniques	Using problem solving techniques None	Using problem solving techniques A little	Using problem solving techniques A fair bit	Using problem solving techniques A lot
Having a better understanding of yourself	Having a better understanding of yourself None	Having a better understanding of yourself A little	Having a better understanding of yourself A fair bit	Having a better understanding of yourself A lot

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* 8. Did you feel safe and secure during your time at Toora?

Yes

Sometimes

If you did not feel safe, or only sometimes felt safe can you tell us why?

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* 9. Were our staff professional and courteous?

Not very good

Average / ok

Very good

Not applicable

Not very good

Average / ok

Very good

Not applicable

Please let us know if you would like to tell us something specific about our staff.

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* 10. If you stayed at one of our residential services, how would you rate the following?

	Poor	Fair	Good	Not applicable
Overall condition of your room	Overall condition of your room Poor	Overall condition of your room Fair	Overall condition of your room Good	Overall condition of your room Not applicable
Overall condition of the property	Overall condition of the property Poor	Overall condition of the property Fair	Overall condition of the property Good	Overall condition of the property Not applicable
After hours on call service	After hours on call service Poor	After hours on call service Fair	After hours on call service Good	After hours on call service Not applicable

Is there anything we could do to help the next woman who stays in the service?

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* 1. What is your name? (You do not have to tell us, if you would like to remain anonymous)

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* 2. Would you like us to follow up with you about your feedback? If so, please let us know what is the best way to contact you.

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* 3. Which Coming Home service did you use?

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* 4. When did you last use the service?

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* 5. What was one thing that you found the most helpful about the service(s)

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* 6. What was one thing that we could have done better?

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* 7. Have you noticed any improvement in your life in these areas?

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* 8. Did you feel safe and secure during your time at Toora?

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* 9. Were our staff professional and courteous?

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* 10. If you stayed at one of our residential services, how would you rate the following?

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* 11. Do you have any other comments?