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pdfOMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Thank you for taking the time to complete this survey. The Office for Victims of Crime (OVC) is
conducting a needs assessment of the victim services community to identify and assess your
training/technical assistance (TTA) needs as a victim service provider. Your input is very important in
developing and designing new training opportunities for those who work to benefit victims of crime,
either directly or indirectly. Please read the instructions carefully and choose the answers that best
represent your TTA needs.
This needs assessment survey is divided into three (3) major sections: Background Information, Current
Training and Technical Assistance Needs, and Overall. The Current Training and Technical Assistance
Needs section is broken down into seven (7) training categories/topics. As you work through each of these
topics depending on your level of need you will be asked a few follow-up questions to help determine the
extent of that particular need. At the completion of the needs assessment you will receive a summary of
your responses and a list of available resources to print out for your own use. Additionally, you may
return to the needs assessment at a later date to print out the summary of your responses and available
resources, if you are unable to do so at the time you complete the survey
You have been asked to register for this tool; this is only to provide you with a username and password so
that you may complete the needs assessment at your convenience. The needs assessment will assist OVC
and other federal agencies in developing training and technical assistance that will address the needs of
the victim service field. No identifying information will be collected through this tool. Completion of this
survey is completely voluntary.
The estimated average time to complete this needs assessment is 20-30 minutes. If you have questions of
comments, please contact the Office for Victims of Crime Training and Technical Assistance Center,
Needs Assessment and Evaluation Division, 10530 Rosehaven Street, Suite 400, Fairfax, VA 22030, or email us at [email protected] , or call 1-866-OVC-TTAC (1-866-682-8822); TTY: 1-866-682-8880.
Paperwork Reduction Act Notice
Your participation is completely voluntary. Under the Paperwork Reduction Act, a person is not required
to respond to a collection of information unless it displays a valid OMB control number. We try to create
forms and instructions that are accurate, easily understood, and impose the least possible burden on you
to provide us with information. The estimated average time to complete this form is 20 minutes. If you
have comments regarding the accuracy of this estimate, or suggestions for making this form simpler,
please write to the Office for Victims of Crime Training and Technical Assistance Center, Needs
Assessment and Evaluation Division, 10530 Rosehaven Street, Suite 400, Fairfax, VA 22030 or e-mail us
at [email protected].
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
SECTION 1: ORGANIZATIONAL AND INDIVIDUAL BACKGROUND INFORMATION
We would like to begin by asking you a few questions about you and the type of agency/organization you
represent.
Please choose the organizational setting(s) that best describes your organization. (Please check all that
apply)
Faith-based
Federal
International
Local
National
Private, for-profit
Private, non-profit
Public
State
Tribal
Other (please specify):
______________________________
Which best describes the size of the organization you represent? (Please only check one)
Less than 10 staff members
10-20 staff members
21-40 staff members
41-50 staff members
50 or more staff members
Which best describes the type of organization you represent? (Please only check one)
Community-based/ Grassroots
Corrections/Detention
Court services
o Judiciary
o Other court personnel
Domestic violence/Sexual assault
Education
Faith-based
Health services
o Medical health
o Mental health
o Substance use/ abuse
Housing/shelter
Human social services (e.g., child and
family services)
Law enforcement (e.g., police, sheriff)
Legal services
Legislative/Policymaker
Other victim services
Parole and probation/aftercare
Prosecution
Research
Technology
Victim compensation/assistance
Youth services, child advocacy
Other service provider (please specify):
________________________________
Please indicate the state your organization is located: ________________________________
Please choose the one that best describes the population you serve. (Please only check one)
International
National
Rural
Statewide
Suburban
Tribal
Urban
Multi-state
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
If you serve more than one type of population, please indicate the secondary population that you
serve. (Please only check one)
International
National
Rural
Statewide
Suburban
Tribal
Urban
Multi-state
Not applicable
Is the population you primarily work with: (Please only check one)
Female
Male
Both male and female
Is the population you primarily work with: (Please check all that apply)
Adults 60 and older
Adults 30-59
Adults 19-29
Youth under 10 years
of age
Youth ages 11-15
years of age
Youth ages 16-18
years of age
All ages
Please check the victim population(s)/area(s) that best describe the services your organization provides.
(Please check all that apply)
Abused or neglected children
Mass violence
Alcohol/drug related crimes
Motor vehicle homicide
Domestic violence
Property crime
Elder Abuse
Rape/Sexual assault
Financial crime/identity theft
School violence
Gang violence
Stalking
Hate/bias crimes
Survivors of homicide
Human trafficking
Survivors of attempted homicide and/or
assault
Immigrant/refugees
Internet crimes
Terrorism
International/political crimes
Victims with disabilities
Juvenile crime
Other (please specify): ___________________________________________
What is your primary role in this organization? (Please only check one)
Front line/Direct delivery staff
Management/ Administrative staff
Other (please specify):____________________
Consultant
Volunteer staff
How many years of experience do you have working in the victim services field? (Please only check
one)
Less than 3 years
3 to 5 years
6 to 10 years
More than 10 years
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
What is your highest level of education? (Please only check one)
Less than high school
BA/BS
High school/GED
MA/MS/MSW/MBA
AAS/Professional training or Certificate
PhD/MD/JD or higher
Some college
Other (please specify): _____________________________________________
SECTION 2: CURRENT TRAINING AND TECHNICAL ASSISTANCE NEEDS
The following are categories of interest to the Victim Service field. For each of the following categories,
please rate the extent to which your agency/organization needs assistance with that category. Depending
on the extent of your needs in each category, you will move to the next category or answer a couple of
follow up questions regarding the level and format of training/technical assistance your
organization/agency needs.
CATEGORY 1: ORGANIZATIONAL/PROGRAM MANAGEMENT
Training/TA topics may focus on effectively managing staff and budgets, leadership and governance, and
working collaboratively internally and externally.
Please rate the extent to which you think you/your organization needs assistance with
Organizational/Program Management.
Based on your responses and dependent on the extent of your need in each area you will be prompted
to answer a few follow-up questions regarding the level and format of training.
Organizational/Program Management
Subcategories
No
assistance
needed
Some
assistance
needed
A great
deal of
assistance
needed
Not
Applicable
Board development/Staff development
Budget/Financial management
Collaboration/Establishing partnerships
Communications/Marketing
Coordinated community response
Developing policies and procedures
Establishing 501c(3)
Ethics/ethical standards
Funding/grant writing
Human resource development
Legal/Legislative/Political issues
Media relations
Organizational culture and analysis
Performance measurement
Program evaluation
Program expansion/replication
Technology/Management information systems
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Please rate the extent to which you think you/your organization needs assistance with
Organizational/Program Management.
Based on your responses and dependent on the extent of your need in each area you will be prompted
to answer a few follow-up questions regarding the level and format of training.
Organizational/Program Management
Subcategories
No
assistance
needed
Some
assistance
needed
A great
deal of
assistance
needed
Not
Applicable
Service delivery methods
Strategic planning (mission, goals, objectives)
Sustainability
Other (please specify): _________________
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
leaders, mangers,
directors)
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
5
OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
CATEGORY 2: PROGRAM DEVELOPMENT
Training/TA topics may focus on program development, management, staffing, funding, education and
outreach.
Please rate the extent to which you think you/your organization needs assistance with Program
Development.
Based on your responses and dependent on the extent of your need in each area you will be prompted
to answer a few follow-up questions regarding the level and format of training.
No
assistance
needed
Program Development Subcategories
Some
assistance
needed
A great
deal of
assistance
needed
Not
Applicable
Case management (i.e., documentation, intake, etc.)
Client confidentiality
Counseling (group and/or individual)
Cultural/Spiritual competency
Curriculum development
Information sharing/Shared case management
Outreach and education
Program policy issues
Program standards/Promising practices
Resource development/referrals
Service coordination/Delivery
Staff recruitment and retention
Train the Trainers
Other (please specify):
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
leaders, mangers,
directors)
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
CATEGORY 3: PROFESSIONAL DEVELOPMENT
Training/TA topics may focus on staff training, certification, and ethics/confidentiality.
Please rate the extent to which you think you/your organization needs assistance with Professional
Development.
Based on your responses and dependent on the extent of your need in each area you will be prompted
to answer a few follow-up questions regarding the level and format of training.
Professional Development
Subcategories
No assistance
needed
Some
assistance
needed
A great deal of
assistance
needed
Not
Applicable
Certification/Licensing
Compassion fatigue/Vicarious trauma/
Burnout
Continuing education
Confidentiality/Privacy/HIPAA
Cross-training
Cultural competency
Leadership
Networking
Staff/Volunteer training
Team building
Victims Rights
Other (please specify): _______________
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
leaders, mangers,
directors)
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
CATEGORY 4: TECHNOLOGY/MANAGEMENT INFORMATION SYSTEMS (MIS)
Training/TA topics may focus on the use of technology for information sharing, data storage
management, recordkeeping, and case management and reporting.
Please rate the extent to which you think you/your organization needs assistance with
Technology/MIS.
Based on your responses and dependent on the extent of your need in each area you will be
prompted to answer a few follow-up questions regarding the level and format of training.
Technology/MIS
Subcategories
No
assistance
needed
Some
assistance
needed
A great deal of
assistance
needed
Not
Applicable
Accessibility and shared systems
Case management
Computer-based/Distance learning
Database development/Data storage
Information sharing/ Confidentiality/
Privacy issues (HIPAA)
Web-based services
Web site design and management
Other (please specify): ________________
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
leaders, mangers,
directors)
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
CATEGORY 5: PROGRAM MONITORING/EVALUATION
Training/TA topics may focus on data collection and reporting, performance measurement and needs
assessments.
Please rate the extent to which you think you/your organization needs assistance with Program
Monitoring/Evaluation.
Based on your responses and dependent on the extent of your need in each area you will be prompted
to answer a few follow-up questions regarding the level and format of training.
Program Monitoring/Evaluation
Subcategories
No
assistance
needed
Some
assistance
needed
A great deal
of assistance
needed
Not
Applicable
Confidentiality/Privacy/HIPAA
Customer satisfaction/Feedback
Data collection and management
Instrument design
Needs assessment/Gap analysis
Performance measurement
Reporting
Service planning
Using evaluation data
Other (please specify):
9
OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
leaders, mangers,
directors)
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
CATEGORY 6: TYPES OF VICTIMIZATION
Training/TA topics may include the types of crimes that victims may encounter and for which services
would be rendered.
10
OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Please rate the extent to which you think you/your organization needs assistance with Types of
Victimization.
Based on your responses and dependent on the extent of your need in each area you will be prompted
to answer a few follow-up questions regarding the level and format of training.
Types of Victimization Subcategories
No assistance
needed
Some
assistance
needed
A great
deal of
assistance
needed
Not
Applicable
Alcohol/drug related crimes
Burglary/Property crimes
Child abuse and neglect victims
Dating violence
Domestic violence
Drunk driving
Elder abuse
Financial exploitation/Fraud
Gang violence
Hate/Bias crime
Human trafficking
Identity theft
Internet/Computer crimes
Kidnapping
Mass violence
Rape/Sexual assault
School violence
Stalking
Survivors of attempted homicide and/or assault
Survivors of homicide victims
Terrorism
Victims with disabilities
Workplace violence
Other (please specify):
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
leaders, mangers,
directors)
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
11
OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
CATEGORY 7: VICTIM-CENTERED SERVICES
Training/TA topics may include in-depth case management, intervention and prevention, communication,
counseling, group/systems dynamics, legal advocacy.
Please rate the extent to which you think you/your organization needs assistance with Victim-Centered
Services.
Based on your responses and dependent on the extent of your need in each area you will be prompted to
answer a few follow-up questions regarding the level and format of training.
Victim-Centered Services Subcategories
No
assistance
needed
Some
assistance
needed
A great deal
of assistance
needed
Not
Applicable
Batterer/perpetrator intervention
Criminal justice support/Advocacy
Crisis response
Counseling
Financial assistance
Hospital/Medical services
Legal advocacy
Restitution/Property return assistance
Service referrals
Shelter/Short-term housing services
Victim notification
Victim/Offender mediation
Other (please specify): ________________
Follow up question #1: Please indicate the level of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please only check one)
Basic (Beginners/
Foundation level)
Intermediate
(Specialized TTA)
Advanced
(Administrators,
12
OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
leaders, mangers,
directors)
Follow up question #2: Please select the format of training and/or technical assistance that would be
most useful to you and your organization/agency for [Name of subcategory]. (Please check all that
apply)
Conference style
Seminar/workshop
Training of Trainers
Distance learning/web-based (this
includes downloadable information
as well as interactive learning)
Onsite consultation
Phone consultation
Peer-to-peer learning
Resource materials (e.g.,
publications, brochures, resource
guides, fact sheets)
Follow up question #3: Please select the training or technical assistance length you would find most
useful. Please choose only one.
1-hour workshop as part of a
conference
Half-day seminar/workshop
One-day seminar/workshop
Other (please specify): __________________________________________
Two-day conference/workshop
3-5 day conference/workshop
Consultation
SECTION 3. OVERALL
Finally, we would like to conclude with your feedback on the challenges you face in providing services,
your training priorities, your previous training/technical assistance (TA) experiences, and any additional
training needs not addressed here.
If you or your staff were to attend an OVC training or technical assistance event, which of the following
regions would be most convenient? (Please check all that apply)
Midwest
Northeast
South
West Coast/Pacific
Mid-Atlantic
Northwest
Southwest
What are the most critical barriers/challenges you face in providing services? (Please check all that
apply)
Coordinating with other
agencies/organizations
Inadequate prevention efforts
Limited funding/resources (e.g., staff,
time, space)
Limited training/technical assistance for
staff members
Limited in-house policies/procedures
Limited knowledge about crime victim
service issues
Limited language capabilities
Limited understanding of cultural
competency
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OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Limited interagency/inter-organizational
collaboration
Limited local/State/Federal
collaboration
Turf issues among agencies/service
providers
Limited knowledge regarding legislation
and policies
None that I can think of
Other (please describe): ___________________________________
What do you most hope to gain by attending trainings/receiving technical assistance on the categories
above? (Please check all that apply)
Increased knowledge in relevant subject
Increased access to technological
areas (e.g., best practices and strategies)
resources and support
Increased skills in relevant subject areas
Increased opportunities to network and
Increased opportunities to work
exchange ideas with others in the field
collaboratively with others in the victim
(e.g., access to experts and other
service field and allied professionals
providers)
Increased access to publications and
At this time, I do not know
other resources
Other (please specify): ___________________________________
How might you apply the new skills and knowledge you have attained through trainings/technical
assistance? (Please check all that apply)
□
□
□
□
To expand capacity of my organization
To increase quality of services
To improve efficiency (e.g., technology,
collaboration, coordination, etc.) of my
organization
To improve service delivery with my
organization
□
To improve organizational functioning
(e.g., staff development, morale,
retention, policies and procedures,
operations)
□ To secure funding for my organization
□ Other (please specify):
______________________________
Are CEU’s (Continuing Education Units) something that you would be interested in receiving
after attending a training event?
Yes
No
PREVIOUS TRAINING/TA EXPERIENCE
Please choose the one statement that best describes your level of awareness of training and technical
assistance resources offered by OVC.
I am not familiar with the resources offered by OVC
I have limited knowledge of the resources offered by OVC, but I am not familiar with what
assistance they can offer me or my organization.
I am familiar with the resources offered by OVC and have received assistance from them in the
past
14
OMB # 1121-0277
Date of Expiration: August 31, 2012
Office for Victims of Crime
NATIONAL NEEDS ASSESSMENT SURVEY
Please think about previous trainings you have attended and technical assistance you have received.
In general, what about the OVC resource made it most useful to you? (Please check all that apply)
Applicability to my job
Curriculum
Hands on exercises
Location
Presenter/Speaker/Consultant
Topics discussed
Did not attend a training event
In general, what about the technical assistance received made it most useful to you? (Please check all
that apply)
Applicability on my job
Curriculum
Hands on exercises
Location
Presenter/Speaker/Consultant
Topics discussed
Did not receive technical assistance
Please identify three (3) emerging or priority issues in the field of victim services that you would
like to see addressed through training, technical assistance (TA) or resources for the field (e.g.,
crisis management, identity theft, human trafficking, etc.)
1.
2.
3.
Please describe any other training/TA needs you have that have not been addressed in this needs
assessment.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
Thank you for taking the time to complete this needs assessment survey. All of your responses will
be kept confidential, that is, no information will be shared or reported in any manner that can identify
you as an individual.
15
| File Type | application/pdf |
| File Title | Victim Survey |
| Author | user |
| File Modified | 2011-07-06 |
| File Created | 2010-06-30 |