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Quick Escape
Preble County Shelter Satisfaction Survey
Home
Preble County Shelter Satisfaction Survey
A-
A
A+
Preble County Shelter Satisfaction Survey
I am safe from the person who abused me while I am in the shelter.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
I feel better about myself now than when I entered the shelter.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
I feel more in control of my life now than when I entered the shelter.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
I feel that my stay in the shelter has decreased the possibility of my returning to an abusive relationship.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
Overall, thinking about my current stay here, I feel the services I receive are helpful.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
The most helpful part of being here is:
Suggestions for improving services for women and children staying here:
Shelter staff treats me with respect.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
Shelter staff are caring and supportive.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
Shelter staff helps me create a safety plan for now and in the future.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
I now have more strategies to enhance my safety.
Yes
No
I now have more knowledge of community resources available to me.
Yes
No
Overall, thinking about how comfortable I am with the staff, I would say that I feel comfortable.
Strongly Agree
Agree
Don't Know
Disagree
Strongly Disagree
Why do you agree or disagree?
How would you rate the overall cleanliness of the shelter (shelter floor only)?
Very Clean
Clean
Dirty/Not Acceptable
Very Dirty
Comments:
In what areas have you observed unclean conditions in the shelter?
Dining Room
Restrooms
Laundry Rooms
Family Room
Comments:
How would you rate the response and quality of maintenance staff in the shelter? (check one)
Quick response time and excellent service
Average response time fair service
Long response time and poor service
Not applicable--I have not had any contact with maintenance
Comments:
The current length of my stay in shelter is:
Less than 7 Days
Between 7 and 30 Days
Greater than 30 Days
Demographic Information
The following questions are optional and will help us know who is using our services so we can continue to improve our programs to meet the needs of all clients.
18. What ethnicity do you identify as?
What is your gender identity?
Female
Male
Transgender Male to Female
Transgender Female to Male
Gender Fluid
Non-binary
An identity not listed (please specify below)
Prefer not to disclose
If you checked "An identity not listed" above, please specify:
What is your age?
How many children did you have with you in shelter?
What is your sexual orientation?
Female
Male
Transgender Male to Female
Heterosexual/Straight
Lesbian
Queer
Bisexual
Gay
Questioning
Asexual
Pansexual
Same-gender loving
An identity not listed (please specify below)
Prefer not to disclose
If you checked "An identity not listed" above, please specify:
Additional Comments or Concerns: