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At which organization do you work?
 
o Abrigo Centre
 
o Access Alliance C.H.C.
 
o Arising Women
 
o Assaulted Women’s Helpline
 
o Barbara Schlifer Clinic
 
o Catholic C.A.S.
 
o Children’s Aid Society
 
o COSTI
 
o Counterpoint Counselling
 
o Elizabeth Fry Toronto
 
o Elspeth Heyworth Centre for Women
 
o Family Service Toronto
 
o Fem'Aide
 
o Islamic Social Services
 
o John Howard Society of Toronto
 
o Jamaican Canadian Association
 
o METRAC
 
o Native Child & Family Serv.
 
o Nellie's Shelter
 
o Springtide Resources
 
o Scarborough Women's Centre
 
o South Asian Women's Centre
 
o Victim Services of Toronto
 
o Women’s College Hospital
 
o Working Women’s Centre
 
o Yorktown Shelter
 
o YWCA Toronto
 
o Victim Services
 
Other
 
 
 
 
What is your role in the organization?
   
 
 
 
Where is the location of the centre that you work the most?
 
 
 
What is your organization’s role in addressing violence against women? (Select all that apply)
 
o Awareness raising/education/Prevention,
 
o Direct service: Counselling, Support Groups, Legal Support, Transitional Support, High Risk Identification, Crisis Intervention, Job Skills, Case Management
 
o Service coordination
 
o Advocacy
 
o Other ( Please describe)

 
 
If a woman discloses abuse to your agency staff, is there an assessment during intake in the following areas?
(Always) (Almost Always) (Sometimes) (Seldom) (Never) (Not Sure)
o Education Level
o Employment (Source of Income, Work Status)
o Dependants ( Including Children, Pets)
o Housing Situation
o Social Supports
o Immigration
o Mental Health
o Physical Health
o Sexual Health
 
 
 
Is HIV/AIDS and STI information included in counselling/case management at the location you work?
 
Yes
 
No ( Please explain)
 
Not Sure (Please explain)
 
 
 
Is there HIV/AIDS programming for clients at the location you work?

 
Yes
 
No (Please explain)
 
Not Sure (Please explain)
 
 
 
Are there condoms available for clients at the location you work?
 
Yes
 
No (Please explain)
 
Not Sure (Please explain)