Family Violence Prevention Month
Evaluation Form

Thank you for taking the time to fill this form out so that we can make Family Violence Prevention Month even better. Please contact us if you would like us to email, mail or fax this form to you.

Your community *

What themes or target groups should we address in the future?

Family Violence Prevention Month Resource Kit *

What was your overall impression of the kit?

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Did you find the materials in the kit easy to understand?

Family Violence Prevention Month funding *

Did you apply for funding?

If yes, was it helpful? If no, why not?

Family Violence Prevention Month general *

How do you feel your community's response was to Family Violence Prevention Month?

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Should we continue this every year?

Please explain:

In general, do you think Family Violence Prevention Month helped you to raise awareness about family violence in your community?

Please explain:

Additional comments

Thank you for your input this will help us in the future!

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Family Violence Prevention MonthEvaluation Form

Family Violence Prevention Month
Evaluation Form