Family Safety Center Survey

Family Safety Center Questionnaire

Adams County and many community partners are coming together to work on creating a safe place for people who are currently experiencing or who have experienced violence (including experiences like domestic violence, child abuse, sexual assault, and human trafficking). This center would be a place where our community could come and have access to many services all in one place. Some of the options community members would have available would include things like help with resources (such as housing, Medicaid, TANF, etc.), getting a protection / restraining order, therapy services, talking to a victim advocate, getting a forensic interview, and speaking with people involved in criminal justice (police, prosecutors, victim advocates). We know that this center will only be successful if we have YOUR voice at the table. Seeking your input on the following questions is our first step in making sure this center is built around your needs. In these questions, we are looking for information on what was or would have been helpful and supportive, and encourage you to share about your experience in looking for safety. Once the survey is completed, you will also be redirected to a form where you can enter to a win a $100 gift card and to share your information if you would like to continue being involved in the planning of the Family Safety Center-and we hope that you are interested in staying involved!
How long did the abuse go on before you were able to access any resources?

0-6 months6 month-1 year1 year-3 years3+ year
When someone else found out about the abuse for the first time (family, law enforcement, social services, etc.), did you interact with a crisis center, social services, civil court, or criminal justice system?

YesNoOther
Was law enforcement notified about the abuse? If yes, by you or someone else?

NoYes, by meYes, by someone elseOther
Looking back, what services do you think you needed at the time of the abuse?

HousingShelterFood supportLegal assistance related to divorce or custodyLegal assistance related to a criminal caseAssistance with filing a restraining orderFinancial supportAssistance with safety features like cameras, door locks, etc.TherapyCulturally specific mental health servicesPrimary care physician or gynecologistDentalTransportationChild CareServices specific to male survivorsLGBTQIA+ specific servicesVictim AdvocacyMedical forensic interviewConnection to trauma informed policeOther
Were you able to access the services you needed?

YesNoOther
If yes, how did you find out about those services?

Family memberFriendAdvertisementInternet searchCommunity agencyLaw enforcementVictim AdvocateSchoolOther
Where was the first place outside of your family or friends you went to for help?

PoliceChild protection servicesTherapistVictim advocateCommunity case managerShelterOther
How many places were you referred to or told to call/contact? (approximate is ok)

1-33-55-77+
Of all of the places you were referred to, how many did you call?

1-23-456+
What was the biggest challenge/obstacle in accessing those services?

Distance between all of the placesTransportation (for example, not having a car, no bus line, cost of gas)Times that places were openKnowing which resource could help you with what you most neededFeeling like the resource was not safe for youLanguage barriersKnowing where services were locatedThe abuser would not allow you to go, or concern that the abuser would find outOther
Of all of the places that you contacted when you were looking for / finding safety, where did you find the most help, or where did you feel the most supported?
What did agencies or people do to make them seem the most helpful?

Answered the phoneWere available for walk in appointmentsHad virtual options to connectHad hours that worked for my scheduleWere friendly and/or patientCould hear what I was going throughWere knowledgable of community resourcesProvided services for my entire familySpoke my preferred languageListened to my concernsUnderstood the safety concerns in my situationOther
What did agencies or people do that did not feel helpful?
Did you file for a restraining order for you and/or your children?

YesNoOther
Did anyone help you file the restraining order?

YesNoOther
Describe what the process of filing a restraining order was like for you.
Was your application granted?

YesNoOther
If your application was denied, why was it denied? Did you feel heard during the process?
Did you file for emergency allocation of parental responsibility for your children?

YesNoOther
If yes, was it granted?

YesNoOther
If it was denied, why was it denied?
Were there resources available for your family and/or friends to learn how to support you and/or get support for themselves?

YesNoOther
If there were resources for your family and/or friends, what was most helpful about them accessing those resources?
If there were not resources, or adequate resources available for your family/friends, what do you wish would have been available for them?
What difference would it have made for you to have all services in one location? Are there any benefits or disadvantages to having services in one place?
Do you support the idea of having all the services that someone needs in one place?

YesNoOther
What services or agencies would be important to have at that location?
If all of these services were in one place, where would you feel most comfortable going to access those services?

Police stationProsecutor’s officeCourt houseNon-profit agencyHuman services buildingReligious institutionA new community building made just for this purposeAnonymous locationOther
We will be using quotes from our community in the upcoming presentations and events that talk about this center. Is there anything you would like to say that we can share in these groups?
If you are inter

YesNoOther
If you are interested in being involved, please provide your name.
If you are interested in being involved, please provide an email address or phone number you would feel safe being contacted on.
If you are interested in continuing to be involved or in entering to win a $100 gift card, once you click Submit, you will be redirected to a form where you can enter in your contact information. Thank you for raising up your voice and helping us build a safe, supportive Family Safety Center.
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