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Accompaniment Response Survey

Your answers to this survey are confidential. We don’t have a way to know who is taking the survey unless you share identifying information in survey answers. All information collected in this survey will be kept private and will only be used to help Embrace improve support services for survivors.
1.An Embrace advocate accompanied me to
2.The questions below are asking you to think about your emotional and physical safety since meeting with Embrace staff.
A lot
Some
A little
Not at all
N/A
I know more ways to plan for the physical and emotional safety of me (and my kids). This is sometimes called a safety plan and can include things like knowing more safe people, safe places, and safe options.
The Embrace advocate talked with me about my options and made me feel supported in my decisions.
3.The questions below are asking you to think about your knowledge of resources and services available in your community (or online) since meeting with Embrace staff.
A lot
Some
A little
Not at all
I know more about resources and supports available in the community or online.
I am likely to reach out to Embrace again if I need additional help or resources.
I found the folder handouts and/or backpack items Embrace gave to me helpful?
4.What handouts/items were helpful or could be improved?
5.We celebrate the diversity of all people. Please mark all races and ethnicities you identify with:
6.Do you identify as LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer, +)?
7.Do you identify as having a disability? For example, physical, mental, deaf/hard of hearing. This does not have to be a documented diagnosis from a medical provider.
8.Is there any feedback you have or something you’d like to share about what your life has been like since connecting with Embrace?