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Riverview Center Client Evaluation Survey
The purpose of this survey is to gather information about your experiences at Riverview Center and answer some questions that help determine how services are offerred. Please share your experiences with us by answering the following questions to the best of your ability. Do not place your name anywhere on this survey.
What is your gender?
What is your age?
What do you consider to be your ethnicity?
What do you consider to be your race?
American Indian or Alaskan Native
Native Hawaiian or Pacific Islander
How long ago did the sexual assault/abuse occur that brought you to Riverview
Less than a year ago (but has stopped)
1-5 years ago
6-10 years ago
10+ years ago
I chose to receive services at Riverview because (check all that apply)
The counselors have specialized training in working with abuse/assault victims and their families
There are no other counselors available in my area with special training in working with victims
Medical and legal advocates have specialized training in working with victims and their families
I do not have private insurance that covers counseling services
Riverview services are free
I was told I could get the most help by going to Riverview
How many total times have you been helped by (via phone or in-person) by Riverview?
Did your counselor and/or advocate assist you in reviewing available options?
What Riverview services have you received?
Assistance through the 24-hour hotline
Assistance with a hospital visit/medical care
Assistance with the legal system (police, prosecutors, court)
How important is it to you that all of the above services are provided by one agency?
Not at all important
The information you provide to Riverview is completely confidential and protected by law. How important is it to you to have this protection of your information?
Not at all important
Since receiving Riverview services, I have noticed improvements in (check all that apply):
My relationships (e.g., family, friends, coworkers, classmates, etc.)
My work/school performance
My sleeping (e.g., decrease in nightmares)
My problem solving
My mood (e.g., less depressed or anxious)
The awareness of my rights (e.g., legal/medical)
The number and intensity of bad or distressing thoughts
A better understanding of the choices and resources that are available to me
I have the ability to manage my feelings about the assault:
Neither agree nor disagree
I know the sexual assault/abuse was not my fault:
Would you use a sexual assault services center again?
Overall, how satisfied have you been with the services you've received at Riverview?
Do you feel you were encouraged to take the lead in your recovery process and direct what kind of assistance was needed? Please explain.
If I had not participated in these program services I may have been at risk of
Involvement with law enforcement
Not being able to function at work or school
Harming other or being harmed by others
Isolating myself from family and friends
How has services from Riverview impacted your life?
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