1. How did you hear about our site?

DV Program
Colleague
Friend
Referred Link
Other

If you choose 'Referred Link' or 'Other,' please describe:

2. Did you find information that will assist you?

Yes
No
Somewhat

3. Did you find information you were not previously aware of?

Yes
No

4. Do you have any suggestions to improve our web site?

5. I am a:

Choose an option DV Program Staff Person Student Victim/Survivor Reporter Educator Other

 

If you have time, please assist us by furnishing the following demographic information.

Age: Age 15-18 19-24 25-34 35-44 45-59 60+

Sex: Sex Female Male

Race: Race White African-American Asian Arabic Biracial Latino Native American Other

I identify as: Choose one Lesbian Gay Heterosexual Bisexual Transgendered Intersexed

I am: ------------------- mobility impaired visually impaired hearing impaired