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The 501 (c) (3) certification
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Please help us better service you by participating in this anonymous survey!
1. During the past year, how many times did you want or need to protect yourself, a family member, or someone else from harm by another?
*
1
2
3
4
0
If Other please specify:
*
2. During the past year, what services have you looked for?
*
Food or Shelter
Protection from an abuser
Medical Care
Legal Services
None Above
If Not Listed, Please Specify:
*
3. Did you get the help you were looking for?
*
Yes
No
N/A
5. If not, why were you not able to get help?
*
Transportation
Language Barrier
Office Hours
Afraid to leave house
N/A
Comment
*
4. What is your age?
*
Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
5. What is your household income?
*
Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Prefer not to say
Submit
Home
About
Services
Refugee Protection
Humanitarian Aid
Activities
>
Videos
Contribute
Volunteer
The 501 (c) (3) certification
Survey
Partners
News
Contact Us