"Creating a Framework for the Wisdom of the Community:" Review of Victim Services in Nunavut, Northwest and Yukon Territories

Appendix C: Survey Questionnaire

Survey of Nunavut Service Providers, Telephone Questionnaire

  1. What is the full name of your agency?
  2. What is the full address of your agency? (postal, phone, e mail and fax)
  3. Can you give me the name of the person in charge of your agency?
  4. Can you describe for me the services you offer?
  5. What type of facility do you have for delivering these services?
  6. What is the mode of service delivery? (support groups, counselling, crisis line, etc.)
  7. How many staff do you have?
  8. Are all your staffing positions full at this time?
  9. How many hours a day is your service available?
  10. How many hours a day does the staff work in reality?
  11. Do people need a referral to use your service or can they walk in?
  12. What languages is your service offered in?
  13. Who is your target group?
  14. How long has your service been in operation?
  15. Do you know how many people have used your service in: one week, one month, one year?
  16. What is the average number of times any one person would use your service in: 1 week, 1 month, 1 year?
  17. What is your source of funding?
  18. Is your funding ongoing or short-term?
  19. What are the challenges you face in delivering your program?
  20. Has your service been evaluated?
  21. Is there anything you can tell me about the findings of the evaluation?
  22. Do you know of any other agencies that provide services to victims in your community?
  23. What recommendations do you have for improving services to victims of crime in Nunavut?