RASASC ISVA feedback form

Thank you for engaging with RASASC's Independent Sexual Violence Advisor (ISVA) service. We would appreciate your feedback to help us maintain and improve the service going forward. This survey is totally confidential, contains 14 questions and should take around 5-8 minutes to complete

Please answer as honestly as possible, your feedback is totally confidential.

Question Title

* 1. Please provide your client number (as given to you by your ISVA)

Question Title

* 2. Do you feel satisfied with the service you received from your ISVA?

Yes

Please let us know why this is

Question Title

* 3. Did your ISVA improve your access to physical healthcare services? (for example emergency healthcare, your GP, the Sexual Health Clinic etc)

Yes

Not relevant to me

Question Title

* 4. To what extent do you agree or disagree with the following statements?

My ISVAs support has helped me to:

	Improved	No change	Deteriorated	Not relevant to me
feel more safe	feel more safe Improved	feel more safe No change	feel more safe Deteriorated	feel more safe Not relevant to me
improve or maintain important relationships	improve or maintain important relationships Improved	improve or maintain important relationships No change	improve or maintain important relationships Deteriorated	improve or maintain important relationships Not relevant to me
improve or engage in everyday life	improve or engage in everyday life Improved	improve or engage in everyday life No change	improve or engage in everyday life Deteriorated	improve or engage in everyday life Not relevant to me
resume or continue in work, education or volunteering.	resume or continue in work, education or volunteering. Improved	resume or continue in work, education or volunteering. No change	resume or continue in work, education or volunteering. Deteriorated	resume or continue in work, education or volunteering. Not relevant to me
have a good understanding of the Criminal Justice System and what to expect if I reported to the police	have a good understanding of the Criminal Justice System and what to expect if I reported to the police Improved	have a good understanding of the Criminal Justice System and what to expect if I reported to the police No change	have a good understanding of the Criminal Justice System and what to expect if I reported to the police Deteriorated	have a good understanding of the Criminal Justice System and what to expect if I reported to the police Not relevant to me
Feel informed and empowered to act	Feel informed and empowered to act Improved	Feel informed and empowered to act No change	Feel informed and empowered to act Deteriorated	Feel informed and empowered to act Not relevant to me

RASASC ISVA feedback form

Question Title

* 1. Please provide your client number (as given to you by your ISVA)

Question Title

* 2. Do you feel satisfied with the service you received from your ISVA?

Question Title

* 3. Did your ISVA improve your access to physical healthcare services? (for example emergency healthcare, your GP, the Sexual Health Clinic etc)

Question Title

* 4. To what extent do you agree or disagree with the following statements?

My ISVAs support has helped me to:

Question Title

* 5. Following the experience with my ISVA, I am now more likely to engage with other services

Question Title

* 6. Did you report the incident/s to the police?

RASASC ISVA feedback form

Question Title

* 1. Please provide your client number (as given to you by your ISVA)

Question Title

* 2. Do you feel satisfied with the service you received from your ISVA?

Question Title

* 3. Did your ISVA improve your access to physical healthcare services? (for example emergency healthcare, your GP, the Sexual Health Clinic etc)

Question Title

* 4. To what extent do you agree or disagree with the following statements? My ISVAs support has helped me to:

Question Title

* 5. Following the experience with my ISVA, I am now more likely to engage with other services

Question Title

* 6. Did you report the incident/s to the police?

* 4. To what extent do you agree or disagree with the following statements?

My ISVAs support has helped me to: