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Domestic Violence Services Questionnaire

2. OFFICE OF THE PROSECUTING ATTORNEY

4. VICTIM/WITNESS SERVICES DIVISION

5. 411 Jules, Room 132, St. Joseph, Missouri 64501

7. DOMESTIC VIOLENCE SERVICES QUESTIONNAIRE

9. We thank you in advance for completing this questionnaire. When you have finished, click the Send button at the bottom of the page.

13. First Name (optional)

14. Last Name (optional)

16. Phone Number (optional):

20. Are you still involved in a relationship with the defendant?

    1. Yes

    1. No
21. Are you currently living with the defendant?

    1. Yes

    1. No
23. Does the defendant harass or abuse you either physically or verbally?

    1. Yes

    1. No

25. If Yes, describe:

29. Are you satisfied with the information and help you received from the Victim Advocate (Joelle)?

    1. Yes

    1. Somewhat

    1. No
31. Were you satisfied with the Prosecutor (Kristina) and with the Prosecutor's Office in your case?

    1. Yes

    1. Somewhat

    1. No
33. Do you feel the court process and your rights as the victim were adequately explained to you?

    1. Yes

    1. Somewhat

    1. No
35. Were you satisfied with the outcome of the case?

    1. Yes

    1. Somewhat

    1. No
37. Were you provided with enough information regarding resources/services available to you?

    1. Yes

    1. No
39. Do you want us to call you about this case?

    1. Yes

    1. No
40. If Yes, at what phone number can we reach you?

42. What changes, if any, would you suggest we make in order to be more helpful in future cases?

46. 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.

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47. 1. Receive an email copy of this form.
48. Email address

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