Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Domestic Violence Program

  1. 1. How would you rate this program?*
    Please select one.
  2. 2. How would you rate your Probation Officer?*
    Please select one.
  3. 3. How would you rate the professional manner of the program facilitator? *
    Please select one.
  4. 4. How was the facilitator’s knowledgeable of program content? *
    Please select one.
  5. 5. How would you rate the program enrollment/intake process?
    Please select one.
  6. 6. Would you recommend your program lead to others in need?*
    Please select one.
  7. 7. Do you feel the program is useful?*
    Please select one.
  8. 8. Do you feel the program is offered at a convenient time?*
    Please select one.
  9. 9. Do you feel your behavior has improved since you enrolled in this program?*
    Please select one.
  10. 10. Do you feel the facilitator actively listened to the group and encouraged everyone to participate?*
    Please select one.
  11. 11. Did you feel that the program requirements (attendance, payments, etc.) were clearly explained to you upon entry?*
    Please select one.
  12. 12. In your opinion, was the locational setting of the program appropriate for this course?*
    Please select one.
  13. Please type your response above.
  14. Please type your response above.
  15. Leave This Blank:

  16. This field is not part of the form submission.