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FEEDBACK

HOW DID WE DO?

 

If you’ve had a positive (or even a negative) experience with our agency, we’d be very grateful to hear about it. Your feedback will go a long way in helping us provide improved service in the future. Please fill out the form below with any information you are comfortable sharing. Be assured that your responses will be guarded with the strictest confidence, and that you will remain anonymous. Thanks very much!

General Feedback  /  VQRP Program  /  Court Program

I am a
Service Provider
Service Recipient
My contact with CDVS was
My contact with CDVS was
Within the last month
Within the last year
Over a year ago
My contact with CDVS was
One time
A number of times
I became aware of CDVS by
Police referral
Self referral
Other agency referral
Other
The staff of this agency treated me with sensitivity and respect
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
The staff of this agency listened to my concerns
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
The staff of this agency helped me feel that I am not alone in dealing with my situation
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
The staff of this agency helped me feel that I am not alone in dealing with my situation
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
The services provided by this program helped me to make informed choices about my situation
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
After working with the agency, I have some new ideas about my safety options
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
After working with this agency, I have more information about resources that are available, including how to access them
Strongly agree
Agree
Disagree
Strongly disagree
No option N/A
Would you like us to contact you to discuss feedback
Yes
No

If yes, please provide us with your contact information, so we can discuss your feedback with you

Accessible formats and communication supports will be arranged upon request for all processes currently in place for receiving and responding to feedback (feedback forms, surveys, etcetera). Please contact the agency to arrange for the provision of accessible formats and communications.

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