1. How long have you been a victim service provider (VSP)? *

0-5 years

6-10 years

11-15 years

15+ years

I am not a VSP

2. What type of organization do you work for? *

State Government

Non-Profit

Law Enforcement

Social Service

Attorney

Other

3. Which SCVAN Program have you requested services from in the past 12 months (check all that apply): *

Information and Referral (Website, Listserv, Social Media)

Financial Assistance for Victims (Emergency Funds and Transitional Housing)

Legal Assistance for Victims

Faith Based Victim Services (also includes Roundtable participation)

Statewide Forensic Nurse Examiner Program

4. Do feel that the information provided to you by the SCVAN staff member met your needs?

Yes

No

5. Please rate your overall satisfaction of your experience, based on the programs you selected in question #3:

I am completely satisfied with the information provided on the website, listserv and social media.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am completely satisfied with the amount of paperwork required to access the emergency fund.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am completely satisfied with the amount of paperwork required to access the transitional housing fund.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am completely satisfied with the services provided by the Legal Assistance for Victims Program.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am completely satisfied with the services provided by the Faith Based Victim Services Program.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am completely satisfied with the services provided by the Statewide Forensic Nurse Examiner Program.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

6. Would you refer a victim or colleague to SCVAN for services in the future?

Yes

No

Maybe

Name (OPTIONAL)

First Name

Last Name