Skip to content
Home
About
Our Parenting Programmes
Teen Triple P Parenting
Being a Parent Workshop
Cygnet Autism
Victory Domestic
Caring Dads Programme
Circle of Security
Football Coaching Mentorship Therapy
Grief Is Not the End
Mellow Parenting
Strengthening Families Programme
Facilitators
Mentors
Counsellors
Fundraising
Donate Now
Volunteer Opportunities
Contact
Home
About
Our Parenting Programmes
Teen Triple P Parenting
Being a Parent Workshop
Cygnet Autism
Victory Domestic
Caring Dads Programme
Circle of Security
Football Coaching Mentorship Therapy
Grief Is Not the End
Mellow Parenting
Strengthening Families Programme
Facilitators
Mentors
Counsellors
Fundraising
Donate Now
Volunteer Opportunities
Contact
Victory Pre-Program Questionnaire
Home
Victory Pre-Program Questionnaire
Demographic Information
Age
Select A Gender
Gender
Male
Female
Not Sure
Length of Time Since Experiencing Domestic Violence
Length of Time Since Experiencing Domestic Violence?
What specific outcomes do you hope to achieve by participating in this program?
What specific outcomes do you hope to achieve by participating in this program?
How would you rate your overall support system related to your experiences with domestic violence?
Choose Any One
Very Poor ----> 1
Poor ----> 2
Average ----> 3
Good ----> 4
Excellent ----> 5
On a scale of 1 to 5, how useful do you find the concept of storytelling for healing from domestic violence?
Choose Any One
Not Useful at All
Slightly Useful
Moderately Useful
Very Useful
Extremely Useful
What areas of learning are you most interested in?
(e.g., coping strategies, self-esteem rebuilding, accessing resources)
How would you rate your current knowledge of available resources (e.g., legal aid, counseling, housing) for domestic violence survivors?
Choose Any One
Not Aware at All
Slightly Aware
Somewhat Aware
Very Aware
Extremely Aware
What would you consider to be your biggest challenge regarding your situation?
Send Message
error:
