We'd really appreciate it if you could complete the questionnaire below. Any answers you give will be treated confidentially and we won't send you any messages unless you request us to. These questions are designed to help our funders assess our work and who we are managing to help.
1) How satisfied are you with the information you received today?
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Not at all satisfied
Somewhat satisfied
Not sure
Satisfied
Very satisfied
2) After using the assessment tool, do you feel safer and more hopeful about your situation?
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Yes
No
3) How confident did you feel in managing your situation before using the assessment?
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Not at all confident
Somewhat confident
Not sure
Confident
Very confident
4) Do you now understand your options for next steps, including reporting to the police if you haven't done so?
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Yes
No
5) Do you feel confident in taking these next steps?
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Yes
No
6) Did you have any issues using the tool, or are there any areas you think we can improve?
We'd love any suggestions you might have about the tool in the box below
Gender
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Female
Male
Trans
Non-binary
Unsure / questioning
Other
Age
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12 years & under
13-17
18-24
25-34
35-44
45-54
55-64
65-74
75 and over
Sexual Orientation
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Heterosexual / straight
Lesbian
Gay
Queer
Asexual
Pansexual
Bi-sexual
Unsure
Other
Ethnicity / Background
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Asian or Asian British
Black or Black British
Chinese
Any other Ethnic group
White and Asian
White and Black African
White and Black Carribean
Any other Mixed background
Gypsy or Roma
Traveller Irish Heritage
White British
White Irish
Any other White background
Disability / special needs / hearing / visual impairment
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Mental health condition
Autism
Social/behaviour impairment
Learning Difficulty
Physical disability
Other disability
Deaf or hearing impairment
Long-term health problem/illness
Mental health condition
Multiple disabilities
Not disabled