Email:

Phone Number:

Thank you for participating in this survey! Please answer these questions to the best of your ability. Your responses will help us evaluate our programming, and ensure that we are meeting the needs of our community. Your responses will remain anonymous. Overall numbers will be reported out to our funders and our community.
Please select the program through which you most recently received services. If you aren't sure which program to choose option, please ask your advocate or refer to the following:
    • Child Support Group - if you and your child attended a Caring Unlimited group
    • 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.
    • Legal Program - 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 Caring Unlimited shelter, hotel, housing navigation services, transitional 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:
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: