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Victim Advocate Program Client Satisfaction Survey

  1. Your responses will assist in providing grant funds necessary for the Victim Advocate Program.
    Please answer all of the questions.
  2. How did you find out about the Daytona Beach Police Department Victim Advocate Program?
  3. What service(s) did you receive? (Indicate all that apply)
  4. Would you use the services of the Daytona Beach Victim Advocate Program again, if needed, or recommend the program to a friend?
  5. Would you like to be contacted about your responses?
  6. If yes, please provide your contact information.
  7. Thank You for completing this survey
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  9. This field is not part of the form submission.