Advocacy Follow-up Survey
Alliance Rape Crisis Program
To assess the quality of our advocacy services and provide the best care to others in the future, we would appreciate your feedback on your recent experience with our advocate. All responses are anonymous.
1.
I was assisted in meeting my immediate mental/emotional needs.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
N/A
2.
I was assisted in meeting my immediate physical (including safety) needs.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
3.
It was easy for me to access this program and their services.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
4.
As a result of working with this program, I feel hope for the future.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
5.
The advocate was available when needed/when they said they would be.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
6.
The advocate explained things to me in a way I could understand.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
7.
I felt listened to and respected by the advocate.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
8.
I was provided with community resources.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
9.
Any referrals I was provided with were effective.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
N/A
10.
Was there a specific part of this program you felt was very helpful for you?
11.
Do you have any suggestions for this program to improve services? Specifically, if you selected "strongly disagree" or "disagree" for any of your responses, could you please explain?