Confidential Survey

Date

Month

Day

Year

Please check all that apply to you:

Attended Support Groups

Lived at The Bridge to Hope Shelter

Received Outreach Services

Please mark the box that best reflects your agreement/disagreement with the statements below.

Would you be willing to write a short summary about how the Bridge to Hope helped you?

What do you think The Bridge to Hope does well? What do you think we could improve on?

Do you feel our program has helped you start to heal from trauma? Any suggestions on what to add/take away?

If you stayed in shelter, did you feel supported as an outreach client after you left?

Any additional ideas for programming or suggestions for other activities/opportunities?

Additional Comments: