Feedback Survey on Support Services for Survivors of Gender-Based-Violence by Cuso International and Global Affairs Canada

1.What is your age group?

2.How do you identify your gender?

Male

Female

Non-Binary

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

Prefer Not to Say

6.Which country are you participating from?

Grenada

St. Lucia

St. Vincent

Dominica

7.Are you aware of public support services related to gender based violence available to women and girls?

Yes

No

8.Have you or someone you know sought information, advice, or support related to Gender-Based Violence (GBV) from a formal service provider (e.g., clinic, hotline, shelter, police) in the last 12 months?

Yes, I received support.

Yes, I sought support but did not receive it.

No, I did not seek support.

Yes, I am aware of someone else who received support

9.What type of public support service or resource did you or someone you know seek?

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)

10.Is the service provider located in a place that felt safe and confidential?

Yes, the location feels safe and confidential.

No, it does not feel safe or confidential.

The service was provided remotely (e.g., phone, online).

11.Did the service provider offer clear information about available options (e.g., legal, medical, psycho-social, shelter) in a language you fully understand?

Yes, the information was clear and understood.

No, the information was unclear or not fully understood.

The service was not offered.

12.If you or someone you know needed medical or legal assistance related to GBV, were you successfully referred to those services by the initial support provider?

Yes. Successfully referred and used the service.

Yes. Referred, but did not use the service.

No. A referral was needed but did not receive one.

No need for medical or legal assistance.

13.Based on your experience or knowledge, what is the biggest barrier to getting the GBV support?

Fear/Safety Concerns (e.g., fear of retaliation, police involvement)

Lack of Trust/Confidentiality Concerns

Cost of Services or Transport

Lack of Awareness (not knowing where to go)

Staff Attitude/Judgment

I did not encounter any significant barrier.

Is there a secondary significant factor listed above?