Victim Assistance Survey
This organization receives funding from the Ohio Attorney General. To make sure that our programs are fully serving you and others in the future, we would appreciate your completion of this anonymous survey. Your responses to all of the following questions will be anonymous, but will help improve the services available to crime victims in Ohio.

This form can be completed anonymously. Contact information is only collected if the respondent would like to share it or be contacted about their feedback. 
Did you receive services from: *
Required
As a result of working with this program, I understand my rights as a crime victim.
I was assisted in meeting my immediate needs mentally/emotionally.
I was assisted in meeting my immediate needs physically (including safety).
I was assisted in meeting my immediate needs financially.
It was easy for me to access this program and their services.
Help with transportation was available if I needed it.
As a result of working with this program, I feel hope for the future.
The staff was available when I needed them or when they said they would be.
The staff explained things in a way I could understand.
I felt listened to and respected by the staff and volunteers.
I understand how to apply for funding from the Ohio Victim Compensation Fund. 
I understand the VINE program and how to enroll if I choose to do so.
If the program referred me to other organizations for services, the referrals were appropriate and/or effective.
I do not have any more unmet needs that the program could have helped me with. 
Do you feel that you have more strategies for your
safety now?
Do you have more knowledge of community resources now?
Was there any part of this program that you felt did an outstanding job serving you? Do you have any personal success stories as a result of working with this program that you would like to share?
Do you have any suggestions for the program that could improve their services?
If you would like to be contacted regarding your feedback, please provide a name, phone number, or email address so that we can reach out.  Thank you! 
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