Skip to Main Content
Loading
Close
Loading
About Buchanan County
County Offices
Resident Information
Economic Development
Service Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Assessor Forms
Auditor Forms
County Clerk Forms
PA Office
Planning and Zoning Forms
Pub Admin Forms
Purchasing Forms
Sherriff's Department
Webmaster Forms
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Domestic Violence Services Questionnaire
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
OFFICE OF THE PROSECUTING ATTORNEY
VICTIM/WITNESS SERVICES DIVISION
411 Jules, Room 132, St. Joseph, Missouri 64501
DOMESTIC VIOLENCE SERVICES QUESTIONNAIRE
We thank you in advance for completing this questionnaire. When you have finished, click the Send button at the bottom of the page.
First Name (optional)
Last Name (optional)
Phone Number (optional):
Are you still involved in a relationship with the defendant?
Yes
No
Are you currently living with the defendant?
Yes
No
Does the defendant harass or abuse you either physically or verbally?
Yes
No
If Yes, describe:
Are you satisfied with the information and help you received from the Victim Advocate (Joelle)?
Yes
Somewhat
No
Were you satisfied with the Prosecutor (Kristina) and with the Prosecutor's Office in your case?
Yes
Somewhat
No
Do you feel the court process and your rights as the victim were adequately explained to you?
Yes
Somewhat
No
Were you satisfied with the outcome of the case?
Yes
Somewhat
No
Were you provided with enough information regarding resources/services available to you?
Yes
No
Do you want us to call you about this case?
Yes
No
If Yes, at what phone number can we reach you?
What changes, if any, would you suggest we make in order to be more helpful in future cases?
Thank you for your time. Your input helps to better our services. We may ask you to follow up in 6 months with a similar survey.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Buchanan County Homepage
Assessor's Office
Auditor's Office
Collector's Office
County Clerk
County Commissioners Office
Emergency Management
GIS
Human Resources
Planning & Zoning
Prosecuting Attorney
Public Administrator
Purchasing
Recorder's Office
Road and Bridge - East
Road and Bridge - West
Sheriff's Office
Treasurer's Office
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow