Client Satisfaction Survey

ThinkSelf is asking for your opinion on our advocacy services.

Any information you share with us will remain confidential unless you agree in writing that we can share your testimony.

Your responses will only be accessible to the Executive Director and Director of Programs at ThinkSelf. You are not required to answer all survey questions; feel free to answer as many questions as you like and skip any that do not apply to you.

Any Files that are uploaded will NOT be shared outside of the organization they belong to.

Name (Optional):

If Known Client:

Survey Instructions

Once you have read the question or viewed the ASL video, please rate your responses using the following scale:

1=Completely Agree
2=Somewhat Agree
3=Neutral
4=Mostly Agree
5= Completely Agree

If the question is not applicable to your experience, you may skip the question.

Who were your advocates?
View Video

What organizations did you work with?
View Video

ThinkSelf
Other: DHHSD
Other: MEC
Other: Housing Services
Cornerstone/Day One
Other DVSA Agency (such as Tubman, Esperanza, AWU, etc.) - list below
Other - list below

Which agencies did you work with?: Other Defined:

The advocates that have helped me made me feel safe.:
View Video

I have a plan for keeping me and my family members safe.:
View Video

I know where to find resources and tools and how to access them.:
View Video

Since receiving services, I have a better understanding of domestic violence, sexual assault and abuse:
View Video

My advocate is sensitive to my cultural and communication needs.:
View Video

While receiving services, my advocate had the appropriate technical accessibility equipment. (VP, VRI, Flashing Alerts, Door Knockers, etc.).:
View Video

I feel like my decisions were supported by my advocates.:
View Video

My advocates worked well together as a team.:
View Video

Overall, I am satisfied with the services I received.:
View Video

ThinkSelf has permission to share quotes from my survey - name and identifying details will be changed.:

YesNoUnanswered

Please feel free to include a link to a video file with any additional information or comments you would like to share in sign language.

Video Link:

Documents Submitted/File Upload:

Upload New File(s)