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* 1. How do you find the process of making a referral?

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* 2. Could the referral pathway be improved?

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* 3. What is the duration before obtaining a response for the referral?

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* 4. Do you routinely request feedback on the progress of this referral?

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* 5. If you are aware of the following service, please rate it below. 'The support offered by independent domestic violence advocates and support workers at My Sisters Place.'

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* 6. If you are aware of the following service, please rate it below. 'The Counselling/ therapeutic services offered at My Sisters Place.'

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* 7. If you are aware of the following service, please rate it below. 'The sanctuary scheme offered by My Sisters place.'

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* 8. Could the services offered at My Sisters place be improved?

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* 9. How would you rate the organisation 'My Sisters place' overall?

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* 10. Is the organisation meeting all of its purposes?

To deliver accessible, effective, specialist services that are informed and evaluated by service users experiences promoting individual freedom and quality of life.

To explore new and innovative ways to address domestic violence issues with a range of partners, and share best practice locally and nationally.

To challenge inequality in access to safety, justice, health and well-being, and campaign for change to shape future policy and practice.

To work with the wider community through education and community involvement to create a cultural shift in a zero tolerance of domestic abuse, and better equip families to protect one another.

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* 11. Did the organisations services meet your expectations?

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* 12. Your organisation name?

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