Forms

Sample Inventory of Existing Services Referral Questionnaire

The purpose of taking inventory of existing services is to examine agencies in your community currently addressing victims of sexual assault and to become aware of all services and resources available to these victims.  The inventory should be as comprehensive as possible, and it should include services from your local sexual assault crisis center, law enforcement agencies, prosecutors’ offices, medical facilities, mental health programs, victim services organizations, culturally specific service providers, faith based agencies that may be providing survivor support services, and other soci

Sample SART Confidentiality Forms

As part of their SART meetings, some SARTs include a discussion of the response to specific sexual assault cases.  Prior to any discussions related to specific cases, it is of critical importance that a confidentiality policy be adopted.  A victim-centered response recognizes the importance of evaluating what and how information is shared so that the privacy and safety of the victim remains paramount.  This may include obtaining the permission of a victim for case review purposes.  Usually this information would be obtained by the victim advocate and/or medical personnel responding to the s

Sample Victim Experience Survey

This confidential survey is conducted to determine the victims’ assessments of how well the system is responding to their needs.  The VES should assess the feelings of the victims regarding how their cases were handled and how they were treated by each agency/organization. To find out information about how each agency/organization responds to sexual assault victims, it is important to assess victims throughout the criminal justice process, including those whose cases