# AFieldData

Caption:
Approximate number of days you stayed in this shelter this stay:


Caption:
paying attention to my own wants and needs


Caption:
paying attention to my children's wants and needs


Caption:
ideas for handling the stress in my life


Caption:
connections to other people who can help me


Caption:
responding to my children when they are upset or causing trouble


Caption:
What about the shelter has made you feel most comfortable?


Caption:
more comfortable talking about things that bother me


Caption:
that I will achieve the goals I set for myself


Caption:
are better able to express their feelings without violence


Caption:
have more understanding of what has been happening at home


Caption:
Shelter staff were caring and supportive.


Caption:
Shelter staff spent enough time talking about my safety


Caption:
Shelter staff spent enough time talking about my children's safety


Caption:
Over all, my religious/spiritual beliefs were respected


Caption:
Over all, my sexual orientation was respected


Caption:
Over all, my racial/ethnic background was respected


Caption:
Shelter staff helped address any needs related to my disability


Caption:
Shelter staff helped address any needs related to my youth or advancing age


Caption:
Over all, thinking about my stay here, I would rate the help I received at this shelter as:


Caption:
If a friend of mine told me she was thinking of coming here for help, I would: (please check one)


Caption:
Lack of respect for my customs/practices


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Difficulties getting around in the shelter


Caption:
If there is a particular ethnic background that is important to you, please identify:


Caption:
The highest level of education I have so far is:


# AFieldData1

Caption:
About how many sessions with program staff FOR COUNSELING have you had in the last year?


Caption:
Have you filled out one of these forms ABOUT YOUR EXPERIENCE WITH COUNSELING in the past?


Caption:
talking to someone who understands my situation


Caption:
learning more about why/how domestic violence happens


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hearing about what other women have done in my situation


Caption:
learning to be more comfortable doing things for myself


Caption:
finding out who to call or where to get help


Caption:
help figuring out what to do with my life


Caption:
help keeping access to my faith community


Caption:
feeling more comfortable asking for help


Caption:
4. I am most comfortable talking about my issues and concerns related to the abuse I have experienced in the following way (please check only one):


Caption:
Program staff were caring and supportive.


Caption:
Program staff spent enough time talking about my safety


Caption:
Over all, my religious/spiritual beliefs were respected


Caption:
Over all, my sexual orientation was respected


Caption:
Over all, my racial/ethnic background was respected


Caption:
Program staff helped address any needs related to my disability


Caption:
Progam staff helped address any needs related to my youth or advancing age


Caption:
Over all, thinking about my experience with this program so far, I would rate the help I received at this shelter as:


Caption:
If a friend of mine told me she was thinking of coming here for help, I would: (please check one)


Caption:
If there is a particular ethnic background that is important to you, please identify:


Caption:
The highest level of education I have so far is:


