Client Survey
Crisis Connection, Inc.
Our funding is dependent on your feedback! Please take a moment to help us evaluate our advocacy services.
*
1.
Services Received: (Check all that apply)
(Required.)
Domestic Violence Counseling
Sexual Assault Counseling
Financial Assistance
Donations (toys, household items, etc.)
Resources Provided
Safety Planning
Other:_______________________________________________
2.
I know more about community resources.
Yes
No
3.
I know more ways to plan for my safety.
Yes
No
4.
I am satisfied with the level of support provided by the advocate(s)?
Yes
No
5.
Crisis Connection advocate was professional and knowledgeable?
Yes
No
6.
Any questions or concerns?