Email:

Phone Number:

Thank you for taking this survey! Please answer these questions as best as you can. No one will know who took the survey. The answers will be used to help us improve our services. Only answer will be shared with our funders and our community.
Please select the program in which you recently received services. If you aren't sure which option applies to you, please ask your advocate or look below:
    • DV-CPS Liaison - if you receive help from the DV-CPS Liaison on your safety needs around an open child protective matter
    • 24/7 Helpline - calling the helpline or receiving a call back from the helpline
    • Individual Advocacy - working one on one with an advocate outside of the helpline, i.e. at an outreach location, at the hospital, etc.
    • Court Advocacy - receiving help with a protection order or other civil matter, or a criminal matter, preparing court documents, court accompaniment, etc.
    • Residential Services - receiving services within the Family Violence Project shelter, hotel, housing navigation services, or permanent supportive housing program
    • Support/Educational Group - if you attended any support or educational group

    Thank you for your time!

Ext. Quality Assurance Survey

Date:
Type of Survey:
I know more ways to plan for my safety:
How could we have helped you better plan for your safety better:
I know more about community resources (resource outcomes):
How could we have helped you know more about community resources:
I know more about the justice/legal process and the options available to me overall:
How could we have helped you know more about the justice/legal process:
My stay at the Safe House was adequate:
How could we have made your stay better:
I had/have a relapse in my safety and prevention plan:
What did you think caused the relapse:
Do you feel safer after contact with the Safe Voices:
What would have made you feel safer:
Do you have any feedback you'd like to share: