Excellent Good Satisfactory Poor N/A
1. How do you rate the accessibility of the Victim Advocacy Center's Services
2. How would you rate the usefulness of the referrals provided?
3. How would you rate your meeting place?
4. How would you rate the certainty that the information you provided to the Victim Advocacy Center will be kept private and confidential?

Service Provider (Advocate):
Who was your Advocate?

Please indicate, in your experience, the degree to which your advocate:

  Excellent Good Satisfactory Poor N/A
1. Provided you with emotional support to help you cope with the immediate crisis.
2. Demonstrated a comprehensive knowledge about victimization and the options available to you.
3. Assisted you in addressing your immediate concerns after the crime
4. Obtained your consent to advocate on your behalf before making any contacts.
5. Referred you to other agencies for additional services.
6. Was available when you needed to speak with her?
7. Showed compassion and empathy for your experience?

Demographic Information (For statistical Purposes Only):
Age: Gender: Ethnicity:

Relation to the University: Student Faculty Staff Other

Marital Status Single Married Divorced Widowed Domestic Partnership

Information:

How did you first learn about our services?
Beacon Ad Flyer Presentation Information Table Student Handbook Website Referral (Please Specify)

How did you contact the Victim Advocacy Center?
Office Phone Walk-in 24 Hr. Support and Information Line (305-348-2000) Referral

What caused you to seek our services?
Domestic/Dating Violence Sexual Assault Stalking Assault and Battery Sexual Harassment Murder Survivor Hate Crime Other (Please Specify)