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1
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Please select the type of service you received.
| Community-based (not at shelter) |
| Shelter |
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2
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After attending this program or talking with The Willow Advocate,
1
Not At All | 2
A Little | 3
A Lot |
| Do you know more about domestic violence and how it affects you? |
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| Do you know more about things you can do that will help you be safe? |
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| Do you feel more able to take care of yourself? |
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| Do you know more about resources and services available to you? |
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3
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How satisfied were you with the services you received from this agency?
1
Not Satisfied | 2
| 3
| 4
| 5
Very Satisfied |
| Please rate your experience. |
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| Additional Comments |
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4
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Feedback and Further Comments: Is there anything else you'd like to share about your experience with this agency? Did you understand the questions in this survey or were there words used that don't match your experience?
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