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Let us know about you.

  1. Thank you for taking a moment to complete our survey. Your answers help us determine how effective our website is and gives you the opportunity to help us improve our services to victims.
  2. I am a

    Please select all that apply.

  3. I am a victim/survivor of:

    Please select all that apply.

  4. I found this site:
  5. This site was:
  6. Did this site increase your knowledge of victim rights?
    1. Will you visit/use this site again?
      1. Are you interested in a victim/survivor support group?
      2. My age is:
      3. I am:
      4. I live in:

        Please select the most specific answer.

      5. Leave This Blank:

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