ࡱ> ` objbjss 4/008,$0R L̬(ϭb1h       $hn+ *ϭϭ**+  *d * 8@ @02X6\" 0R  l&egweee+ + eeeR ****000H[C000[000 Sexual Violence Services Survey The Lilith Project is carrying out a survey into voluntary sector service provision for women and children who have experienced sexual violence on behalf of SVAAN. We hope the findings can be used to show funders, health authorities and councils that rape crisis services are needed and valued, and must be supported. All of the information you provide is confidential, and will not be used for any other purpose. Please return the form by 20th October for a free copy of the survey findings. Name  FORMTEXT      Organisation  FORMTEXT      Telephone number  FORMTEXT      Email address  FORMTEXT      Your ServicesLilith defines sexual violence as  any coerced sexual activity . Using this definition, is sexual violence your organisations: FORMCHECKBOX Primary area of work (the only, main, or one of the main, areas you work in/help clients with) FORMCHECKBOX Secondary area of work (an area of work you often work in/help clients with) FORMCHECKBOX Tertiary area of work (an area of work you occasionally work in/help clients with) FORMCHECKBOX An area you never work in/help clients with Please go to question 20. Do you do work in any other area of violence against women? (Please tick all that apply) FORMCHECKBOX Domestic violence FORMCHECKBOX Prostitution  FORMCHECKBOX Female genital mutilation FORMCHECKBOX Honour violence FORMCHECKBOX Trafficking  FORMCHECKBOX Sexual harassment FORMCHECKBOX Lapdancing FORMCHECKBOX Other, please give details: FORMTEXT      What percentage of your service users are female?  FORMTEXT      %Which of the following groups does your organisation work with? FORMCHECKBOX Adult women (18+) FORMCHECKBOX Young women (13  18) FORMCHECKBOX Girls (12 and under)What services to you provide to women and children who have experienced sexual violence? (Please tick all that apply) FORMCHECKBOX Accommodation  FORMCHECKBOX Group work FORMCHECKBOX Advocacy FORMCHECKBOX Information, advice, signposting FORMCHECKBOX Counselling FORMCHECKBOX Telephone helpline FORMCHECKBOX General support FORMCHECKBOX Other please give details:   FORMTEXT       Your ReferralsWhat areas can you accept referrals from?  FORMCHECKBOX Nationally FORMCHECKBOX Pan London FORMCHECKBOX Non-London area (please specify):  FORMTEXT       FORMCHECKBOX Barking & Dagenham FORMCHECKBOX Hackney FORMCHECKBOX Lewisham FORMCHECKBOX Barnet FORMCHECKBOX Hammersmith & Fulham FORMCHECKBOX Merton FORMCHECKBOX Bexley FORMCHECKBOX Haringey FORMCHECKBOX Newham FORMCHECKBOX Brent FORMCHECKBOX Harrow FORMCHECKBOX Redbridge FORMCHECKBOX Bromley FORMCHECKBOX Havering FORMCHECKBOX Richmond upon Thames FORMCHECKBOX Camden FORMCHECKBOX Hillingdon FORMCHECKBOX Southwark FORMCHECKBOX City of London FORMCHECKBOX Hounslow FORMCHECKBOX Sutton FORMCHECKBOX Croydon FORMCHECKBOX Islington FORMCHECKBOX Tower Hamlets FORMCHECKBOX Ealing FORMCHECKBOX Kensington & Chelsea FORMCHECKBOX Waltham Forest FORMCHECKBOX Enfield FORMCHECKBOX Kingston upon Thames FORMCHECKBOX Wandsworth FORMCHECKBOX Greenwich FORMCHECKBOX Lambeth FORMCHECKBOX WestminsterPlease estimate the percentage of women referred to you by the following sources: _____ FORMTEXT      %Self referrals_____ FORMTEXT      %Statutory services (e.g. doctors, hospitals, SARCs, school counsellors)_____ FORMTEXT      %Voluntary services (e.g. women s centres)_____ FORMTEXT      %Unknown referral sourceAre your services specialised in any way e.g. supporting women from a specific ethnic background, women involved in prostitution? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, please explain how: FORMTEXT      Your Service UsersApproximately how many service users or clients did your organisation see in the last financial year? FORMTEXT      Can you estimate how many women you work with who have reported the attacks they experienced to the Police? FORMTEXT      Do you operate a waiting list? FORMCHECKBOX Yes FORMCHECKBOX No, we ask women to reapply later/refer them on  please go to question 13 FORMCHECKBOX No  please go to question 13 On average how long are women usually on the waiting list? FORMCHECKBOX Less than 1 month FORMCHECKBOX 1 2 months FORMCHECKBOX 2 4 months FORMCHECKBOX 4 6 months FORMCHECKBOX 6 months or moreCan you estimate how many women you have had to turn away or refer on in the last financial year? FORMTEXT       Funding and StaffingWhat was your turnover in the last financial year? FORMTEXT      Did you receive any funding from the following sources? 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 FORMCHECKBOX   FORMTEXT      Income from running events or providing services FORMCHECKBOX   FORMTEXT      Other, please give details:  FORMTEXT       FORMTEXT   FORMCHECKBOX   FORMTEXT      Total income:  FORMTEXT      Do you charge for your services? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, how much (e.g. 20 per session, sliding scale from 0 - 50, linked to income): FORMTEXT      How many paid staff does your organisation employ? FORMTEXT      How many volunteers does your organisation work with? FORMTEXT       How many hours of direct support services do you provide each week? 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