FIU - Florida International University, Victim Advocacy Center
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24 Hour Hotline - (305) 348-3000

 

Victim Advocacy Center
Program Services Evaluation Form

Consumers of our services are in a unique position to provide feedback that helps us in our continuing efforts to be responsive to needs, improve our efforts, and provide us opportunities to better serve the FIU community. So please feel free to answer our questions about our services candidly, and add whatever additional comments you feel are important.
Please rate the ease of using our services:
1. Location on Campus
2. Parking
3. Hours of Operation
4. Availability of Staff for first appointment
5. Privacy of our office setting
6. ADA accommodations


Please rate the helpfulness of our services:
1. Were you informed of our Confidentiality Policy as it relates to the privacy of your information?
2. Did you receive information about post traumatic stress and its symptoms?
3. Were you assisted in addressing your main concern?
4. Did you receive information about the relevant options available to you?
5. Did you receive information about relevant community resources?


Service Provider (Advocate):
Who was your Advocate?

Comments, ideas, suggestions:
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)




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