Fort Mojave Indian Tribe Domestic Violence Program Needs Assessment -- Organization Survey

Introduction

Thank you for your willingness to engage with the Fort Mojave Indian Tribe Domestic Violence Program and this National Congress of American Indian (NCAI)-funded project. The purpose of this needs assessment is to gather information about your community regarding domestic violence. The overarching goal of this grant project is to better understand the scope of violence in your community any challenges and/or barriers faced in reporting and addressing the violence and identifying culturally-responsive services that are needed that may be beneficial to the survivors of such violence. We will be surveying community agencies and organizations as well as community members about their thoughts, opinions, and recommendations.

This survey is designed to take less than 30 minutes to complete.

Participation in this survey is completely voluntary and your information will be kept confidential and only reported out in the aggregate - meaning that no identifying information will be shared that could potentially identify you as an individual. The data will be collected to assist in the planning and development of services to address the needs of victims/survivors of domestic violence, dating violence, sexual assault, and stalking. If completing this survey causes you to experience emotional distress, please contact Michelle at 760-326-3047 for help.

YOU HAVE THE OPTION TO SKIP ANY QUESTIONS THAT MAKE YOU FEEL UNCOMFORTABLE.

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* 1. What is the name of the organization/agency you work for?

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* 2. What is your position title?

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* 3. How long have you worked with your agency/organization?

Less than a year

1-4 years

5-9 years

10-14 years

15 or more years

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* 4. Where is your agency/organization located?

State

Tribal Community

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* 5. How do you identify your gender?

Female

Male

Transgender

Gender non-conforming

Other (please specify)

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* 6. How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65-70

71+

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* 7. Are you an enrolled member of the tribe?

Yes

Other (please specify)

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* 8. Does your agency/organization provide direct services to victims?

Yes

Other (please specify)

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* 9. What types of violence are of most concern to you in your community? (check all that apply)

Adults sexually abused/assaulted as children

Dating violence

Domestic Violence

Elder Abuse

Family Violence

Stalking

Date rape

Marital rape

Sex trafficking

Sexual assault by a stranger

Child physical abuse

Child sexual abuse

Child pornography

Kidnapping (custodial)

Kidnapping (non-custodial)

Other (please specify)

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* 10. Do you believe that the level of domestic violence in your community has improved, worsened, or remained the same over the past 5 years?

Improved

Remained the same

Worsened

Please explain your answer.