Victim Advocate Program Client Satisfaction Survey

Your responses will assist in providing grant funds necessary for the Victim Advocate Program. Please answer all of the questions.

What type of victimization(s) did you or a loved one experience?:
How did you find out about the Daytona Beach Police Department Victim Advocate Program?:	Direct Contact from the Program Police Officer Referral from another agency Website Other
What service(s) did you receive? (Indicate all that apply):	Information - Criminal Justice System Information/Assistance - Injunctions for Protection (Restraining Order) Information - Victim Compensation Information - Victim Rights Information - Your Case In-Person Contact Personal Advocacy Referral(s) to other agencies for services Telephone Contact Other
Would you use the services of the Daytona Beach Victim Advocate Program again, if needed, or recommend the program to a friend?:	YesNo
Additional Comments:
Would you like to be contacted about your responses?:	YesNo
If yes, please provide your contact information.
Name:
Address:
Phone Number:
Email Address:

Thank you for completing this survey.