In Person:

City Prosecutor’s Office
Phoenix Municipal Courthouse   
300 West Washington St.
Phoenix, Arizona 85003

City business hours are 8 a.m. to 5 p.m., Monday through Friday, except for major holidays.

Victim Survey Form

*denotes required field
Please rate the quality of services you received from the Receptionist by scoring the following statements.
  1. I was satisfied with the response of the receptionist. *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  2. The receptionist was sensitive to my needs.*
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
Please rate the quality of services you received from the Advocate by scoring the following statements.
  3. Were the services provided by the Advocate helpful? *
     Yes No
  4. What was the name of your victim advocate? *
    
  5. Did the Advocate help you solve problems or issues/concerns you had? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  6. Did she/he help you understand the criminal justice system and how it related to your case? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  7. Did the Advocate explain restitution and/or victim compensation? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  8. Did she/he help you exercise your Victim rights? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  9. Would you contact police if you were re-victimized in the future? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  10. Did the Advocate stay in contact with you throughout the criminal justice process? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  11. Did the Advocate go over safety needs with you? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  12. Did the Advocate inform you about Orders of Protection or Injunctions Against Harassment? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  13. Did you receive emergency services such as parking validation, or in some cases, cabs or grocery vouchers? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  14. Did the Advocate treat you with dignity and respect? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  15. Did the Advocate give you information on other agencies or support services to assist you? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  16. Overall were you satisfied with the services provided by the Advocate and our Victim Services Unit? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  17. Were the services provided timely? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  18. Were you notified of Victim Rights and court hearings? *
     Strongly Agree Agree Neither Agree/Disagree Disagree Strongly Disagree
  19. If you could improve one thing about the Victim Services Unit what would it be?
    
Def. Name
Case #

Before you submit this e-mail form, you should be aware of the City's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential, and (3) is retained for one month.

*Required field.