Your name (completely confidential)
State of Residence (currently)
State in which you stayed in a DV Shelter
Name of the DV Shelter where you stayed
How long were you in the shelter?
How did you feel about your experience with the shelter?
Felt Neither Satisfied or Dissatisfied
Felt Safe but Problems With The Program
What did you like most about the DV shelter?
What did you dislike about the shelter?
What helped you to feel safe within the shelter?
What made you feel unsafe?
What would you have liked to see done differently?
Was there a job piece within your shelter?
What did they offer?
What would you have liked them to offer for job training?
Were there any issues regarding the setup of the building? What were they?
What training topics would you have been intested in if it were provided for free for you?
Were there groups and individual therapy offered in the shelter?
What did you like about the therapy that was offered to you?
How would you have felt about a facility where some rooms allowed pets?
I wouldn't have cared
As long as they don't go near me I'm fine with pets
Did your shelter offer any outdoor services (gardening, water fountains, swings, etc.)?
No outdoor services
What services are very important to you?
All of the above
If you were ever in trouble and needed to go to a shelter what would stop you?
What would you wish an administrator could learn to best be able to serve clients?
Do have any suggestions, feedback, concerns or any other thoughts about programs that may be helpful to someone who is opening a DV shelter?
If you are interested in providing additional information about your experience or suggestions and you are safe in doing so, please leave your email and I will contact you via email.
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