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  • Women Enabled International logo. Twelve (12) lower case letter i arranged in a circle, and the words "Women Enabled International" in purple font on white background.

  • Disability and Gender-Based Violence Services Survey

  • Este formulario está disponible en inglés y español. Para cambiar el idioma, seleccione el menú desplegable situado en la parte superior del formulario.

  • This form is available in English and Spanish. To change the language, please select the dropdown menu at the top of the form.

  • Introduction to the survey

    Disability and Gender-Based Violence Services Survey asks people with disabilities about their experiences getting gender-based violence(GBV) services in New York and Texas. GBV can include domestic violence, intimate partner violence, and sexual violence. GBV services can include domestic violence shelters, sexual violence assistance hotlines, counseling, legal services, and more. The questions include good things about GBV services and the ways services could be better in New York and Texas. The questions will not ask about your experiences of abuse or GBV itself. The data and quotes from this survey will help Women Enabled International (WEI) develop recommendations for people who provide GBV services. These resources can improve GBV accessibility to better serve the disability community.   Providing as many details as you feel comfortable sharing helps us give specific recommendations to GBV service providers. Please read the full Consent to Participate Form linked below before agreeing to do the survey.

  • Do not complete this survey if your participation will put you in danger or at risk of abuse.

    Completing this survey is your choice and you can stop answering questions at any time. Questions will not be visible until you check the box that you consent to participate in the survey. New, follow-up questions will be visible as you answer questions, depending on the options you selected. Some of these survey questions may make you think about personal or upsetting experiences related to gender-based violence. The questions will ask about your experience working with GBV service providers; the questions will not ask about your experience of abuse or GBV itself.

  • Here are some resources that offer support: 

    National Domestic Violence Hotline: provides 24/7 support and tools to help survivors of domestic violence. You call their hotline at +1 (800) 799-7233 or text the word “START” to 88788.

    National Sexual Assault Hotline: offers 24/7 support to survivors of sexual violence and abuse. You can call their hotline at +1 (800) 656-4673 or visit their online chatbot at these links: English online chat hotline or Spanish online chat hotline

  • Demographics

    This section will only be visible to those who consent to participate in an online survey. If you consented to participate in the survey, please complete all questions in this section. New, follow-up questions may appear as you answer questions, depending on the options you selected.

  • Disability Status

    This section will only be visible to those who consent to participate in an online survey. If you consented to participate in the survey, please complete all questions in this section. New, follow-up questions may appear as you answer questions, depending on the options you selected.

  • Awareness of GBV Services

    This section will only be visible to those who consent to participate in an online survey. If you consented to participate in the survey, please complete all questions in this section. Providing as many details as you feel comfortable sharing helps us give specific recommendations to gender-based violence service providers. New, follow-up questions will appear as you answer questions, depending on the options you selected.

  • Accessibility of GBV Services

    This section will only be visible to those who consent to participate in an online survey. If you consented to participate in the survey, please complete all questions in this section. New, follow-up questions may appear as you answer questions, depending on the options you selected.

  • Quality of Service and Staff Training

    This section will only be visible to those who consent to participate in an online survey. If you consented to participate in the survey, please complete all questions in this section. New, follow-up questions may appear as you answer questions, depending on the options you selected.

  • Safety and Protection

    This section will only be visible to those who consent to participate in an online survey. If you consented to participate in the survey, please complete all questions in this section. New, follow-up questions may appear as you answer questions, depending on the options you selected.

  • Recommendations

  • Providing as many details as you feel comfortable sharing allows us to make specific and targeted recommendations to providers. We are particularly interested in hearing about barriers you may have faced as a person with a disability and what may have improved that experience. For example:

    •   Physical barriers –  The domestic violence shelter had an inaccessible entrance of bathrooms.
    • Information barriers –  It was difficult to find information about domestic violence legal services in my area.
    • Communication barriers – I am deaf / blind and could not access information about a sexual assault services hotline through website or by phone.
    • Transportation barriers- I could not use accessible public transportation to go to my gender-based violence counseling provider
    • Logistical barriers – I rely on others for care or travel assistance and did not want to share my intent to access gender-based violence services.
    • Discriminatory policies or attitudes – A sexual violence service provider made negative comments about my disability. 
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