Victim Services Survey - 2011/2012

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Victim Services (VSS)

Victim Services (VSS) - Question identifier:VSS_Q1

Please indicate which best describes your program / victim service (if your program / victim service is part of a larger agency, please provide information for the victim service component only). (Check only one response.)

01: Police-based (including police-based victim/witness assistance)
02: Court-based victim/witness assistance program
03: Community-based victim/witness assistance program (including CAVAC's in Quebec) or Other community-based
04: Sexual assault / rape crisis centre or hospital-based sexual assault treatment centre
05: System-based (Newfoundland and Labrador, Prince Edward Island, Nova Scotia, New Brunswick and Manitoba only)
06: Victim Crisis Assistance and Referral Service (Ontario only)
07: Criminal injuries compensation program or Other financial benefits program for victims of crime
08: Other (please specify)

Victim Services (VSS) - Question identifier:VSS_Q2

Is there another category to which your program/victim service belongs? (Check only one response.)

01: Police-based (including police-based victim/witness assistance)
02: Court-based victim/witness assistance program
03: Community-based victim/witness assistance program (including CAVAC's in Quebec) or Other community-based
04: Sexual assault / rape crisis centre or hospital-based sexual assault treatment centre
05: System-based (Newfoundland anLabrador, Prince Edward Island, Nova Scotia, New Brunswick and Manitoba only)
06: Victim Crisis Assistance and Referral Service (Ontario only)
07: Criminal injuries compensation program or Other financial benefits program for victims of crime
08: Other (please specify)
09: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q3

Please indicate if your program/victim service is a government or non-government organization.

1: Government - direct service
2: Government - contract service
3: Non-government / community-based organization

Victim Services (VSS) - Question identifier:VSS_Q4

Does your program/victim service provide services to clients other than primary or secondary victims of crime? Examples include: victims of non-criminal tragedies such as suicides, drownings or natural disasters.

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q5

Please indicate the estimated percentage of your annual clientele who were primary or secondary victims of crime.

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q6

Are you responding on behalf of several office locations?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q7A

Please indicate the area(s) your program / victim service serves.

1: Urban or suburban: areas that have minimum population concentrations of 1,000
2: Rural or village: areas that include small towns, villages and other populated places with less than 1,000 populations
3: Reserve

Victim Services (VSS) - Question identifier:VSS_Q7B

Is your program/victim service located on a reserve?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R8A

Please list the addresses (civic number, street and city), starting with your program / central office, of each of the locations that you are responding for and indicate the area(s) served by each of the listed office locations (please note that temporary points of services or circuits should not be included). (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_R8A_1

Address (civic number, street, city)

Victim Services (VSS) - Question identifier:VSS_Q8A_1B

Area served

1: Urban or suburban
2: Rural or Village
3: Reserve

Victim Services (VSS) - Question identifier:VSS_Q8B_1

Is this office located on a Reserve?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q9

Is your program/victim service mandated to serve victims of specific types of offences? (e.g., adult victims of domestic violence, senior victims of elder abuse, child or youth victims of sexual abuse or sexual exploitation)

1: Yes
2: No, mandate includes primary or secondary victims of all types of crimes

Victim Services (VSS) - Question identifier:VSS_R10A

Please indicate which population(s) your program / victim service targets for service, as per your mandate. Include both primary and secondary victims.

Victim Services (VSS) - Question identifier:VSS_R10A_0

Adult victims of...

Victim Services (VSS) - Question identifier:VSS_Q10A_1

1) All types of crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_2

2) Childhood sexual abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_3

3) Sexual assault

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_4

4) Partner abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_5

5) Other domestic violence

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_6

6) Residential school abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_7

7) Violence (general)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_8

8) Workplace violence

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_9

9) Criminal harassment (Stalking)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_10

10) Political persecution / torture

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_11

11) Fraud / economic / property crime

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_12

12) Impaired driving offences

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_13

13) Hate-motivated and bias crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_14

14) Non-criminal tragedies (suicides, drownings, natural disasters)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_15A

15) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_15B

16) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_15C

17) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_R10A_0B

Senior victims of...

Victim Services (VSS) - Question identifier:VSS_Q10A_16

16) All types of crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_17

17) Partner abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_18

18) Elder abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_19

19) Childhood sexual abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_20

20) Sexual assault

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_21

21) Other violent crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_22

22) Impaired driving offences

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_23

23) Hate-motivated and bias crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_24

24) Fraud / economic / property crime

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_25

25) Non-criminal tragedies (suicides, drownings, natural disasters)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_26A

26) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_26B

27) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_26C

28) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_R10A_0C

Child or youth victims of...

Victim Services (VSS) - Question identifier:VSS_Q10A_27

27) All types of crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_28

28) Sexual abuse / assault or sexual exploitation

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_29

29) Physical abuse / neglect

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_30

30) Dating violence

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_31

31) Domestic violence

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_32

32) School-based violence (bullying, intimidation)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_33

33) Violence (general)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_34

34) Impaired driving offences

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_35

35) Hate-motivated and bias crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_36

36) Non-criminal tragedies (suicides, drownings, natural disasters)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_37A

37) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_37B

38) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_37C

39) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_R10A_0D

Families of...

Victim Services (VSS) - Question identifier:VSS_Q10A_38

38) Victims of all types of crimes

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_39

39) Homicide victims

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_40

40) Sexually abused children

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_41

41) Physically abused children

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_42

42) Victims of residential school abuse

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_43

43) Missing, abducted and exploited children

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_44

44) Victims of impaired driving

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_45

45) Victims of non-criminal tragedies (suicides, drownings, natural disasters)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_46A

46) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_46B

47) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10A_46C

48) Other (please specify)

1: Male
2: Female
3: Both sexes

Victim Services (VSS) - Question identifier:VSS_Q10B

If you are responding on behalf of multiple locations, do all of these locations offer the same services?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q11

Does your program / victim service offer dedicated programs to specific groups of victims, either primary or secondary (e.g., adult males or females, Aboriginal persons, visible minority persons, persons with mental or physical disabilities, etc.)?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q12

Please indicate which of the following groups receive services from your program/victim service through dedicated programs. (Check all that apply)

01: Adults - females
02: Adults - males
03: Adults - both sexes
04: Seniors - females
05: Seniors - males
06: Seniors - both sexes
07: Children / youth - females
08: Children / youth - males
09: Children / youth - both sexes
10: Francophones
11: Anglophones
12: Aboriginal persons
13: Ethnocultural or visible minority group - Black (African, Jamaican, Haitian)
14: Ethnocultural or visible minority group - South Asian (East Indian, Pakistani)
15: Ethnocultural or visible minority group - East Asian and Southeast Asian (Chinese, Japanese, Korean, Vietnamese)
16: Ethnocultural or visible minority group - Latin American
17: Other visible minority group
18: Persons with physical disabilities
19: Personnes ayant une incapacité mentale
20: Lesbian / bisexual women
21: Hommes homosexuels ou bisexuels
22: Other (please specify)
23: Other (please specify)

Victim Services (VSS) - Question identifier:VSS_R13

Please indicate if your program/victim service offers any of the following services either through direct service, contracted service or referral to other agencies. (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q13_1

1) Assistance with victim impact statements

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_2

2) Case/ trial updates

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_3

3) Court orientation/information

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_4

4) Court accompaniment

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_5

5) Critical stress debriefing

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_6

6) Information on criminal justice system structure and process

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_7

7) Legal information

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_8

8) Prevention training (for victims)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_9

9) Restorative justice / mediation measures: orientation and information

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_10

10) Restorative justice / mediation measures: accompaniment and support

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_11

11) Risk assessment (conduct or coordinate)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_12

12) Victim/ witness preparation

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_13

13) Victim notification (e.g., hearings, offender relocation, offender release)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_14

14) Advocacy (e.g., criminal or civil justice)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_15

15) Basic needs provision (e.g., food, clothing)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_16

16) Child protection services

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_17

17) Claims assistance

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_18

18) Compensation - financial

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_19

19) Compensation - other (e.g., pay fees for professional counseling)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_20

20) Conflict resolution

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_21

21) Counseling - couple / family

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_22

22) Counseling - group

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_23

23) Counseling - individual

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_24

24) Crisis / distress line

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_25

25) Crisis counseling

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_26

26) Crisis intervention / response

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_27

27) Emergency and disaster responses

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_28

28) Emotional support

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_29

29) First aid / health / medical services

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_30

30) General information

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_31

31) Hospital accompaniment

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_32

32) Housing assistance

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_33

33) Liaise with other agencies on behalf of client

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_34

34) Lobbying activities

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_35

35) Psychological assistance

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_36

36) Public education / prevention

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_37

37) Safety planning - immediate

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_38

38) Safety planning - long term

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_39

39) Self-help / peer support groups

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_40

40) Shelter / housing - longer term housing

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_41

41) Shelter / housing - emergency

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_42

42) Training (of other agencies, justice personnel, etc.)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_43

43) Transportation

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_44A

44) Other (please specify)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_44B

45) Other (please specify)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q13_44C

46) Other (please specify)

1: Direct service
2: Contracted service
3: Referral
4: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q14

Is your program / victim service involved in the delivery / coordination of restorative justice processes for criminal justice matters?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q15

What is your program / victim service's main method of service delivery to clients? (Check only one response.)

1: Mail
2: Telephone
3: At scene of incident
4: Face-to-face (other than at scene of incident)
5: Other (please specify)

Victim Services (VSS) - Question identifier:VSS_Q16

Do you provide service 24 hours per day, 7 days per week?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q17

Is your program / victim service able to provide assistance to clients who only speak languages other than English or French?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q18

What are the methods used to provide assistance to clients who only speak languages other than English or French? (Check all that apply.)

1: Informal interpreter (e.g., family member, friend, caregiver, advocate of client, etc.)
2: Paid interpreter (including "Cantalk" in Alberta)
3: Voluntary interpreter (i.e. a person who has no relationship with the clients and performs this specific service free of charge, includes "VictimLink" in Britsh Columbia)
4: Staff member(s)
5: Other (please specify)

Victim Services (VSS) - Question identifier:VSS_R19

Does your program / victim service have audio or visual materials available for clients in any of the following languages, or staff members or volunteers who can communicate verbally with clients in any of the following languages? (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q19_1

1) English

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_2

2) French

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_3

3) Cree

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_4

4) Inuktitut

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_5

5) Ojibway

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_6

6) Other Aboriginal language

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_7

7) Arabic

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_8

8) Chinese languages

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_9

9) Croatian

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_10

10) Dutch

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_11

11) German

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_12

12) Greek

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_13

13) Gujarati

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_14

14) Hindi

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_15

15) Hungarian

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_16

16) Italian

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_17

17) Japanese

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_18

18) Korean

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_19

19) Persian (farsi)

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_20

20) Polish

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_21

21) Portuguese

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_22

22) Punjabi

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_23

23) Russian

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_24

24) Somali

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_25

25) Spanish

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_26

26) Tagalog (Filipino)

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_27

27) Tamil

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_28

28) Ukrainian

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_29

29) Urdu

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_30

30) Vietnamese

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_31A

31) Other language(s) (please specify)

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_31B

32) Other language(s) (please specify)

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_Q19_31C

33) Other language(s) (please specify)

1: Audio or visual materials
2: Staff members or volunteers

Victim Services (VSS) - Question identifier:VSS_R20

Can your program / victim service accommodate clients with the following physical disabilities? (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q20_1

1) Mobility impairment

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q20_2

2) Hearing impairment

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q20_3

3) Visual impairment

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q20_4A

4) Other (please specify)

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q21

Is at least one of your building entrances wheelchair accessible? (e.g., access ramps, street-level entrances, automatic or easy-to-open doors, etc.)

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q22

Can your program / victim service provide assistance to clients with mental challenges or mental health issues (e.g., Fetal Alcohol Spectrum Disorder, Schizophrenia, Down's Syndrome, etc.)?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q23

What methods are used to provide assistance to clients with mental challenges or mental health issues (e.g., Fetal Alcohol Spectrum Disorder, Schizophrenia, Down's Syndrome, etc.)? (Check all that apply.)

1: Trained staff members
2: Partnership with or assistance from other specialized or professional agencies
3: Informal assistance (e.g., family member, friend, caregiver, advocate of client)
4: Other (please specify)

Victim Services (VSS) - Question identifier:VSS_Q24

Does your program / victim service perform outreach work (e.g., initiate contact with communities to raise awareness, reach populations at risk of victimization or who may benefit from your services, establish networks with other services, etc.)?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q25

Please indicate if your program / victim service has minimum educational / training requirements for the recruitment / staffing of employees who work directly with primary or secondary victims. Please exclude administrative personnel. (Check only one response.)

1: No minimum educational requirements
2: A high school diploma or its equivalent
3: A college, CEGEP, or a trade, technical or vocational school diploma or certificate
4: A university degree, diploma or certificate
5: Not applicable (agency is run completely by volunteers)

Victim Services (VSS) - Question identifier:VSS_Q26

Does your program / victim service have any additional requirements for the recruitment or staffing of employees? These can include the completion of certified workshops, seminars or professional skills training directly related to the delivery of victim services.

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R27

Please indicate if your program / victim service provides any of the following types of training for employees who work directly with primary or secondary victims. Please exclude administrative personnel. (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q27_1

1) Professional skills training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q27_2

2) Orientation training (new employees)

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q27_3

3) Awareness training (new or existing policies or practices)

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q27_4

4) Computer procedures, programming and software training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q27_5

5) Managerial / supervisory training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q27_6

6) Employee health and wellness training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q27_7A

7) Other training (please specify)

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q28

Please indicate if your program / victim service has minimum educational or training requirements for the recruitment and staffing of volunteers who work directly with primary or secondary victims. Please exclude administrative personnel.
(Check only one response.)

1: No minimum educational requirements
2: A high school diploma or its equivalent
3: A college, CEGEP, or a trade, technical or vocational school diploma or certificate
4: A university degree, diploma or certificate
5: Not applicable (do not use volunteers)

Victim Services (VSS) - Question identifier:VSS_Q29

Does your program / victim service have any additional requirements for the recruitment and staffing of volunteers? These can include the completion of certified workshops, seminars or professional skills training directly related to the delivery of victim services.

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R30

Please indicate if your program / victim service provides any of the following types of training for volunteers. Please exclude administrative personnel. (Check all that apply for each type of training)

Victim Services (VSS) - Question identifier:VSS_Q30_1

1) Professional skills training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q30_2

2) Orientation training (new employees)

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q30_3

3) Awareness training (new or existing policies or practices)

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q30_4

4) Computer procedures, programming and software training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q30_5

5) Managerial / supervisory training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q30_6

6) Employee health and wellness training

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q30_7

7) Other training (please specify)

1: Formal training
2: Informal training
3: No training provided

Victim Services (VSS) - Question identifier:VSS_Q31

Does your program / victim service currently serve on any boards or committees in relation to victims' issues and services?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R32

Please indicate if your program / victim service has working partnerships / relationships (outside your own program / victim service) with the following types of agencies / programs or service providers. (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q32_1

1) Policing services

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_2

2) Fire, health and emergency services

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_3

3) Social services

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_4

4) Educational services

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_5

5) Victim assistance agencies

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_6

6) Other government agencies / programs (including municipal, provincial, federal)

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_7

7) Transition homes / shelters

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q32_8A

8) Other service providers or programs (please specify)

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R33

Please indicate which factors have promoted the use of partnerships with other agencies / programs. (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q33_1

1) Coordinating service

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q33_2

2) Streamlining procedures

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q33_3

3) Improving range and accessibility of services to victims

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q33_4

4) Sharing resources

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_Q33_5

5) Maximizing effective referrals

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R2REF

The purpose of Section 2 is to obtain annual information on your program / victim service. This information is to be provided for the 12-month period ending March 31, 2012 or your own most recent 12-month fiscal period. A space is provided for you to specify the 12-month reference period used.

Reference period:
Please specify the 12-month period used in providing information for this section.

Victim Services (VSS) - Question identifier:VSS_R34

Please indicate the total number of persons assisted between April 1, 2011 and March 31, 2012 or your own most recent 12-month fiscal period. "Persons assisted" include primary and secondary victims that were assisted either face-to-face or by telephone. Please see Guidebook for instructions on how to count clients. (Enter 0 if there were none). If your program/victim service does not keep track of annual counts of clients assisted, please leave the spaces under a) and b) blank and put a check beside c) "No annual counts of persons assisted available".

Victim Services (VSS) - Question identifier:VSS_R34A

A) Please indicate the number of persons assisted by gender. (If the number of persons assisted is available but not according to sex, indicate the total under "Sex unknown")

Victim Services (VSS) - Question identifier:VSS_Q34A_F

Females

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q34A_M

Males

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q34A_U

Sex unknown

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q34A_T

Total

Min = 0; Max = 600

Victim Services (VSS) - Question identifier:VSS_R34B

B) Please indicate the number of persons assisted by age. (If the number of persons assisted is available but not according to age, indicate the total under "Age unknown")

Victim Services (VSS) - Question identifier:VSS_Q34B_U18

Under 18

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q34B_18UP

18 years and older

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q34B_U

Age unknown

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q34B_T

Total

Min = 0; Max = 300

Victim Services (VSS) - Question identifier:VSS_R34C

C) No annual counts of persons assisted available

Victim Services (VSS) - Question identifier:VSS_Q35

Please indicate the number of victims who were offered information or advice on victim impact statements during the annual reporting period.

1: Number:
2: Don't know
3: Not applicable or do not provide this service

Victim Services (VSS) - Question identifier:VSS_Q36

Does your program / victim service provide a service to notify the primary or secondary victim of offender activity or status?

1: Yes
2: No

Victim Services (VSS) - Question identifier:VSS_R37

For programs / victim services whose mandate is to notify the primary or secondary victim of offender activity or status, please indicate the following for the annual reporting period:

Victim Services (VSS) - Question identifier:VSS_Q37A

A) Number of victims registered to receive notification

1: Number:
2: Don't know

Victim Services (VSS) - Question identifier:VSS_Q37B

B) Number of notifications provided

1: Number:
2: Don't know

Victim Services (VSS) - Question identifier:VSS_Q38

For the annual reporting period, please indicate the number of staff, excluding administrative staff, in the form of paid fulltime equivalents, including those who work on a fee-for-service basis and contracted employees. For the purpose of this
survey, full-time work is considered 40 hours per week. Please convert part-time employees to a full-time equivalent.

For example, 4 part-time workers who each work 10 hours a week would be considered the equivalent of 1 full-time employee. Please report the number to the nearest first decimal. See Guidebook for definition of staff and further
instructions on how to calculate full-time equivalents.

1: __.__
2: Not applicable (agency run completely by volunteers)

Victim Services (VSS) - Question identifier:VSS_Q39

Please indicate the percentage of paid staff who received training or professional development during the annual reporting period. Please exclude administrative personnel. See Guidebook for instructions on how to calculate percentages. (Enter 0 if there were none)

1: %
2: Don't know

Victim Services (VSS) - Question identifier:VSS_R40

Please indicate the number of persons who volunteered with your program / victim service during the annual reporting period (new and ongoing) and the number who left the program / victim service during the annual reporting period. Include all volunteers such as those assisting clients, performing administrative duties, fundraising or serving as members of the program / victim service board of directors. (Enter 0 if there were none)

Victim Services (VSS) - Question identifier:VSS_Q40_1

Number of persons who volunteered - new [those who began sometime during the annual reporting period (i.e. fiscal year 2009-2010)]

Min = 0; Max = 50

Victim Services (VSS) - Question identifier:VSS_Q40_2

Number of persons who volunteered - ongoing [those who volunteered during any part of the previous annual reporting period (i.e. fiscal year 2008-2009) and continued to volunteer during part or all of the current annual reporting period (i.e. fiscal year 2009-2010)]

Min = 0; Max = 50

Victim Services (VSS) - Question identifier:VSS_Q40_3

Number of volunteers who left

Min = 0; Max = 50

Victim Services (VSS) - Question identifier:VSS_Q40_4

Not applicable

1: Do not have volunteers

Victim Services (VSS) - Question identifier:VSS_R41

Please indicate the number of hours volunteers worked during the annual reporting period by type of work performed. If you do not keep track of hours worked by volunteers, please provide your best estimate.

Victim Services (VSS) - Question identifier:VSS_Q41_1

Direct service to clients

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q41_2

On-call hours for direct service

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_Q41_3

Other (e.g., administrative duties, fundraising, board of directors, etc.)

Min = 0; Max = 200

Victim Services (VSS) - Question identifier:VSS_Q41_4

Unknown type of work

Min = 0; Max = 200

Victim Services (VSS) - Question identifier:VSS_Q41_5

Total

Min = 0; Max = 600

Victim Services (VSS) - Question identifier:VSS_Q41_6

Not applicable

1: Don't know or not available

Victim Services (VSS) - Question identifier:VSS_Q42

Please indicate the percentage of volunteers who received training or professional development during the annual reporting period. Please exclude administrative personnel. See Guidebook for instructions on how to calculate percentages.
(Enter 0 if there were none)

1: %
2: Don't know

Victim Services (VSS) - Question identifier:VSS_Q43

Does your program / victim service use criteria for prioritizing clients for service delivery?

1: Yes
2: No
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q44

Please indicate which criteria are used. (Check all that apply)

01: Agency's mandate or protocols
02: Referral from police or Crown
03: Self-referral by the victim or direct call from the victim
04: Type of crime
05: Severity of violence
06: Level of trauma
07: Frequency or history of violence or victimization / repeat victim
08: Vulnerability of victim (e.g., victim is mentally or physically challenged or is a child or youth, etc.)
09: Presence of children
10: Risk of repeated victimization
11: Imminent court date
12: Involvement of other service agencies
13: Other (please specify)
14: Other (please specify)
15: Other (please specify)

Victim Services (VSS) - Question identifier:VSS_R45

Please indicate any events that have occurred over the last two years that have had a marked impact on the demand for service from your program / victim service. Please put a check mark under each of the column headings to reflect the impact of the events (if any) on the demand for service. (If an event has had no impact on the demand for service from your program / victim service, please put a check mark under the column heading "No impact"). (Check all that apply)

Victim Services (VSS) - Question identifier:VSS_Q45_N

Impacts on demand for service: No impact

01: a) Changes in federal legislation
02: b) Changes in funding
03: c) Changes in provincial legislation
04: d) Other changes in policies, procedures or mandates
05: e) Changes in fine surcharges
06: f) Changes in existing programs
07: g) Changes in partnerships with other programs
08: h) New prevention initiatives
09: i) Traumatic or high profile event in the community

Victim Services (VSS) - Question identifier:VSS_R45_I

Impacts on demand for service: Increases

Victim Services (VSS) - Question identifier:VSS_Q45_IA

A) Changes in federal legislation

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_IB

B) Changes in funding

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_IC

C) Changes in provincial legislation

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_ID

D) Other changes in policies, procedures or mandates

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_IE

E) Changes in fine surcharges

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_IF

F) Changes in existing programs

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_IG

G) Changes in partnerships with other programs

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_IH

H) New prevention initiatives

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_II

I) Traumatic or high profile event in the community

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_R45_D

Impacts on demand for service: Decreases

Victim Services (VSS) - Question identifier:VSS_Q45_DA

A) Changes in federal legislation

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DB

B) Changes in funding

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DC

C) Changes in provincial legislation

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DD

D) Other changes in policies, procedures or mandates

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DE

E) Changes in fine surcharges

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DF

F) Changes in existing programs

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DG

G) Changes in partnerships with other programs

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DH

H) New prevention initiatives

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_DI

I) Traumatic or high profile event in the community

1: Caseload
2: Human Resources
3: Financial Resources

Victim Services (VSS) - Question identifier:VSS_Q45_P

Changes in profile of clientele

01: a) Changes in federal legislation
02: b) Changes in funding
03: c) Changes in provincial legislation
04: d) Other changes in policies, procedures or mandates
05: e) Changes in fine surcharges
06: f) Changes in existing programs
07: g) Changes in partnerships with other programs
08: h) New prevention initiatives
09: i) Traumatic or high profile event in the community

Victim Services (VSS) - Question identifier:VSS_R46

Please list (to a maximum of 3) any barriers or obstacles that your program / victim service will experience in the delivery of services over the next year and the steps your program / victim service will take or has taken to address each of these.

Victim Services (VSS) - Question identifier:VSS_Q46_O

Barrier

1: 1)
2: 2)
3: 3)

Victim Services (VSS) - Question identifier:VSS_Q46_S

Steps program / victim service will take / has taken

1: 1)
2: 2)
3: 3)

Victim Services (VSS) - Question identifier:VSS_R3S

The purpose of Questions 47 and 48 is to collect information on expenditures of your program/victim service for the reference period (between April 1, 2009 and March 31, 2010) or during your own 12-month fiscal period if March 31, 2010 is not your fiscal year end). Such information will assist in estimating the cost of crime and victimization and in understanding expenditure structures for different types of programs/victim services.

Victim Services (VSS) - Question identifier:VSS_R47

Expenditures - Please report the total annual expenditures for your program / victim service and the dollar amount of your total annual expenditures spent on the following (You may provide either estimated or audited year-end figures.

Please round figures to the nearest dollar [e.g., $457 rather than $457.25].) Please report the applicable expenditures for your program or victim service. If dollars are not available, please report in percentages. Report dollar amount for total annual agency expenditures.

Victim Services (VSS) - Question identifier:VSS_Q47_1

1) Salary costs (all salaries and benefits, including casuals and fee-for-service costs)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_2

2) Overhead costs (rent, supplies, insurance, utilities, etc.)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_3

3) Capital expenditures (furniture, renovations, etc.)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_4

4) Staff and / or volunteer training (includes conferences)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_5

5) Direct client costs (e.g., food, supplies, transportation, etc.)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_6

6) Travel

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_7

7) Volunteer incentives

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_8

8) Fundraising expenses

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_9

9) Promotional material / advertising

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_10

10) Professional service

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_11A

11) Other costs (please specify)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_11B

11) Other costs (please specify)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_11C

11) Other costs (please specify)

1: Dollars ($):
2: Percentage (%):
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q47_12

12) Total annual program / victim service expenditures (sum of items 1 to 11c)

1: Dollars ($):
2: Percentage (%): 100%
3: Not applicable

Victim Services (VSS) - Question identifier:VSS_Q48

Are the expenditure figures that were provided in question 47 based on:
(Check only one response)

1: Audited financial data
2: Estimated data
3: Don't know

Victim Services (VSS) - Question identifier:VSS_R4S

The purpose of this section is to obtain a one-day snapshot of the clientele served on a particular day in the year (i.e. May 27, 2010). Appreciating that some services designate certain days of the week for administrative work only or for service for clientele other than victims of crime, please choose the next working day when victims of crime are served by your program / victim service. Please indicate this day below:

Alternate Profile Day:

Victim Services (VSS) - Question identifier:VSS_Q49

Please indicate the total number of primary and secondary clients served during your hours of operation on May 27, 2010 (or alternate snapshot day).

Min = 0; Max = 50

Victim Services (VSS) - Question identifier:VSS_R50

Please classify the number of primary and secondary clients as reported in Question 49 according to their sex, age, and most serious victimization. Please count each client only once.

Victim Services (VSS) - Question identifier:VSS_R50M

Males

Victim Services (VSS) - Question identifier:VSS_R50MV

Violent offences

Victim Services (VSS) - Question identifier:VSS_Q50MVA

A) Homicide

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVB

B) Other offences causing death (Including Impaired Driving causing death and excluding other traffic offences)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVC

C) Sexual assault by spouse, ex-spouse, intimate partner

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVD

D) Sexual assault by other family member

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVE

E) Sexual assault by other relationship

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVF

F) Other violent offences by spouse, ex-spouse, intimate partner

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVG

G) Other violent offences by other family member

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MVH

H) Other violent offences by other relationship

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50MN

Non Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q50MNI

I) Total non violent offences (excluding traffic offences)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50MT

Traffic Incidents

Victim Services (VSS) - Question identifier:VSS_Q50MTJ

J) Impaired driving (other than causing death)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MTK

K) Other traffic offences

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50MO

Other Incidents

Victim Services (VSS) - Question identifier:VSS_Q50MOL

L) Non criminal incidents

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MOM

M) Traffic incident - undetermined if criminal

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MON

N) Other incident - undetermined if criminal

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50MOO

O) Type of crime unknown

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50MTO

Total

Victim Services (VSS) - Question identifier:VSS_Q50MTO_P

P) Total (the addition of all columns should equal the number in 49)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50F

Females

Victim Services (VSS) - Question identifier:VSS_R50FV

Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q50FVA

A) Homicide

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVB

B) Other offences causing death (Including Impaired Driving causing death and excluding other traffic offences)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVC

C) Sexual assault by spouse, ex-spouse, intimate partner

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVD

D) Sexual assault by other family member

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVE

E) Sexual assault by other relationship

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVF

F) Other violent offences by spouse, ex-spouse, intimate partner

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVG

G) Other violent offences by other family member

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FVH

H) Other violent offences by other relationship

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50FN

Non Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q50FNI

I) Total non violent offences (excluding traffic offences)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50FT

Traffic Incidents

Victim Services (VSS) - Question identifier:VSS_Q50FTJ

J) Impaired driving (other than causing death)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FTK

K) Other traffic offences

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50FO

Other Incidents

Victim Services (VSS) - Question identifier:VSS_Q50FOL

L) Non criminal incidents

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FOM

M) Traffic incident - undetermined if criminal

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FON

N) Other incident - undetermined if criminal

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_Q50FOO

O) Type of crime unknown

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50FTO

Total

Victim Services (VSS) - Question identifier:VSS_Q50FTO_P

P) Total (the addition of all columns should equal the number in 49)

1: 0 - 11:
2: 12 - 17:
3: 18 - 34:
4: 35 - 64:
5: 65 +:
6: Age unknown:

Victim Services (VSS) - Question identifier:VSS_R50U

Age and sex unknown

Victim Services (VSS) - Question identifier:VSS_R50UV

Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q50UVA

A) Homicide

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVB

B) Other offences causing death (Including Impaired Driving causing death and excluding other traffic offences)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVC

C) Sexual assault by spouse, ex-spouse, intimate partner

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVD

D) Sexual assault by other family member

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVE

E) Sexual assault by other relationship

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVF

F) Other violent offences by spouse, ex-spouse, intimate partner

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVG

G) Other violent offences by other family member

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UVH

H) Other violent offences by other relationship

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_R50UN

Non Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q50UNI

I) Total non violent offences (excluding traffic offences)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_R50UT

Traffic Incidents

Victim Services (VSS) - Question identifier:VSS_Q50UTJ

J) Impaired driving (other than causing death)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UTK

K) Other traffic offences

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_R50UO

Other Incidents

Victim Services (VSS) - Question identifier:VSS_Q50UOL

L) Non criminal incidents

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UOM

M) Traffic incident - undetermined if criminal

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50OUN

N) Other incident - undetermined if criminal

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q50UOO

O) Type of crime unknown

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_R50UTO

Total

Victim Services (VSS) - Question identifier:VSS_Q50UTO_P

P) Total (the addition of all columns should equal the number in 49)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q51

Please indicate the total number of employees that worked during your hours of operation on May 24, 2012 (or alternate snapshot day)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q51_A

Not applicable

1: no employees working on snapshot day

Victim Services (VSS) - Question identifier:VSS_Q52

Please indicate the total number of volunteers that worked during your hours of operation on May 27, 2010 (or alternate snapshot day)

Min = 0; Max = 99999

Victim Services (VSS) - Question identifier:VSS_Q52_A

Not applicable

1: no volunteers working on snapshot day

Victim Services (VSS) - Question identifier:VSS_Q53

Please indicate the number of clients served during service hours on snapshot day whose incident had been: (Enter 0 if there were none)

1: Reported to the police
2: Not reported to the police
3: Don't know if reported to police
4: Total

Victim Services (VSS) - Question identifier:VSS_Q54

What were the referral sources for each person assisted by your program / victim service? Count as many referral sources as apply for each person.

01: Police
02: Courts
03: Corrections
04: Hospital / public healthcare provider
05: Other government agency
06: Other victim service
07: Private practitioner
08: Other community agency / non government
09: Clergy, minister of religion
10: No referral from an agency: Referral by a current or former person assisted by your victim service
11: No referral from an agency: Referral by family, friend or other
12: No referral from an agency: Client initiated contact
13: Other
14: Don't know

Victim Services (VSS) - Question identifier:VSS_Q55

Of the people who have received assistance on May 24th 2012, how many had been there before?

1: How many had been there 1 time in the last 12 months?
2: How many had been there 2 - 4 times in the last 12 months?
3: How many had been there 5 + times in the last 12 months?
4: How many people have received assistance from your victim service in the last 12 months
for an unknown number of times?
5: How many people have received assistance from your victim service before, but they
have received the assistance more than 12 months ago?
6: Total

Victim Services (VSS) - Question identifier:VSS_R5S

The purpose of this section is to collect annual information on activities of criminal injuries compensation programs and other financial benefit programs. This information is to be provided for the 12-month period ending March 31, 2010 or your own 12-month fiscal period. A space is provided for you to specify the 12-month reference period used.

Please specify the 12-month period used in providing information for this section.
Reference period:

Victim Services (VSS) - Question identifier:VSS_Q56

Please indicate the number of applications by status for the annual reporting period.

1: a) New applications received
2: b) Applications brought forward from a previous year
3: c) Subtotal (Add a. and b. above)
4: d) Applications carried forward to the next year
5: e) Total applications adjudicated / concluded during the annual reporting period (Subtract d from c)

Victim Services (VSS) - Question identifier:VSS_Q57

Please indicate the outcome of applications adjudicated or completed during the annual reporting period.

1: a) Allowed / Approved
2: b) Disallowed
3: c) Decision pending
4: d) Other (please specify)
5: e) Total (Should equal the number in 56e)

Victim Services (VSS) - Question identifier:VSS_R58

For each type of award, please indicate the total dollar amount awarded. (Enter 0 where the type of award is eligible according to your legislation, but no amount was awarded. If the type of award is not eligible according to your compensation legislation or benefits program, please put a check mark under the column heading "Not applicable").

Victim Services (VSS) - Question identifier:VSS_Q58A

A) Pain and suffering

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58B

B) Loss of love and guidance

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58C

C) Medical, rehabilitation, dental or eyewear costs

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58D

D) Wage loss

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58E

E) Loss of support to dependants

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58F

F) Child maintenance

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58G

G) Funeral and burial costs

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58H

H) Counseling costs

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58I

I) Clothing costs

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58J

J) Transportation costs

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58K

K) Relocation costs

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58L

L) Counsel or legal assistance (other than legal aid)

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58M

M) Other (please specify)

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_Q58N

N) Total

1: Amount awarded ($)
2: Not Applicable

Victim Services (VSS) - Question identifier:VSS_R59

The purpose of this question is to count the number of applications that were allowed during the annual reporting period according to the following characteristics of the applicant: sex, age grouping and type of crime. Please indicate the number
of applications that were allowed according to the characteristics of the applicant. (Enter 0 where the type of crime is eligible according to your legislation, but no applications were allowed. If the type of crime is not eligible according to your legislation or your financial benefits program, please put a check mark under the column heading "Not applicable".)

Victim Services (VSS) - Question identifier:VSS_R59M

Males

Victim Services (VSS) - Question identifier:VSS_R59MV

Violent Violations

Victim Services (VSS) - Question identifier:VSS_Q59MV_A

A) Homicide

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_B

B) Other offences causing death (including impaired driving causing death and excluding other traffic offences)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_C

C) Aggravated sexual assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_D

D) Sexual assault with a weapon or causing bodily harm

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_E

E) Sexual assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_F

F) Other sexual offences

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_G

G) Aggravated assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_H

H) Assault with a weapon or causing bodily harm

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_I

I) Assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_J

J) Assault of peace or public officer

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_K

K) Abduction / Kidnapping

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_L

L) Criminal harassment (Stalking)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_M

M) Uttering threats

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MV_N

N) Robbery

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59MN

Non violent offences

Victim Services (VSS) - Question identifier:VSS_Q59MN_O

O) Total non violent offences (excluding traffic offences)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59MT

Traffic offences

Victim Services (VSS) - Question identifier:VSS_Q59MT_P

P) Impaired driving (other than causing death)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59MT_Q

Q) Other traffic offences

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59MTO

Total

Victim Services (VSS) - Question identifier:VSS_Q59MTO_R

R) Total (the addition of all columns should equal the number in 57a)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59F

Females

Victim Services (VSS) - Question identifier:VSS_R59FV

Violent offences

Victim Services (VSS) - Question identifier:VSS_Q59FV_A

A) Homicide

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_B

B) Other offences causing death (including impaired driving causing death and excluding other traffic offences)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_C

C) Aggravated sexual assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_D

D) Sexual assault with a weapon or causing bodily harm

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_E

E) Sexual assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_F

F) Other sexual offences

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_G

G) Aggravated assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_H

H) Assault with a weapon or causing bodily harm

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_I

I) Assault

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_J

J) Assault of peace or public officer

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_K

K) Abduction / Kidnapping

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_L

L) Criminal harassment (Stalking)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_M

M) Uttering threats

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FV_N

N) Robbery

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59FN

Non Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q59FN_O

O) Total non violent offences (excluding traffic offences)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59FT

Traffic Offences

Victim Services (VSS) - Question identifier:VSS_Q59FT_P

P) Impaired driving (other than causing death)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_Q59FT_Q

Q) Other traffic offences

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59FTO

Total

Victim Services (VSS) - Question identifier:VSS_Q59FTO_R

R) Total (the addition of all columns should equal the number in 57a)

1: 0 - 11
2: 12 - 17
3: 18 - 34
4: 35 - 64
5: 65 +
6: Age unknown

Victim Services (VSS) - Question identifier:VSS_R59U

Age & sex unknown

Victim Services (VSS) - Question identifier:VSS_R59UV

Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q59UV_A

A) Homicide

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_B

B) Other offences causing death (including impaired driving causing death and excluding other traffic offences)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_C

C) Aggravated sexual assault

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_D

D) Sexual assault with a weapon or causing bodily harm

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_E

E) Sexual assault

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_F

F) Other sexual offences

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_G

G) Aggravated assault

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q599UV_H

H) Assault with a weapon or causing bodily harm

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_I

I) Assault

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_J

J) Assault of peace or public officer

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_K

K) Abduction / Kidnapping

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_L

L) Criminal harassment (Stalking)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_M

M) Uttering threats

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UV_N

N) Robbery

Min = 0; Max = 100

Victim Services (VSS) - Question identifier:VSS_R59UN

Non Violent Offences

Victim Services (VSS) - Question identifier:VSS_Q59UN_O

O) Total non violent offences (excluding traffic offences)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_R59UT

Traffic Offences

Victim Services (VSS) - Question identifier:VSS_Q59UT_P

P) Impaired driving (other than causing death)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59UT_Q

Q) Other traffic offences

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_R59UTO

Total

Victim Services (VSS) - Question identifier:VSS_Q59UTO_R

R) Total (the addition of all columns should equal the number in 57a)

Min = 0; Max = 10

Victim Services (VSS) - Question identifier:VSS_Q59NA

Not applicable

01: a) Homicide
02: b) Other offences causing death (including impaired driving causing death and excluding other traffic offences)
03: c) Aggravated sexual assault
04: d) Sexual assault with a weapon or causing bodily harm
05: e) Sexual assault
06: f) Other sexual offences
07: g) Aggravated assault
08: h) Assault with a weapon or causing bodily harm
09: i) Assault
10: j) Assault of peace or public officer
11: k) Abduction / Kidnapping
12: l) Criminal harassment (Stalking)
13: m) Uttering threats
14: n) Robbery
15: o) Total non violent offences (excluding traffic offences)
16: p) Impaired driving (other than causing death)
17: q) Other traffic offences
18: r) Total (the addition of all columns should equal the number in 57a)

Victim Services (VSS) - Question identifier:VSS_Q6S

Disclosure of survey responses to Justice Canada for research and statistical purposes In order to gain a better understanding of the services available across Canada, Justice Canada's Policy Centre for Victim Issues would like to receive a copy of your organization's responses to this survey. Under the Statistics Act, the Chief Statistician can authorize the disclosure of your survey responses with your written consent. Justice Canada is required to keep the information confidential and use it only for statistical and research purposes. If you agree to the disclosure of your survey information to Justice Canada, please check the "Yes" box below and sign
this consent form. If you do not agree, check the "No" box.

1: Yes, I authorize the disclosure of this organization's survey responses to Justice Canada for statistical and research purposes.
2: No, I do not authorize the disclosure of this organization's survey esponses to Justice Canada for statistical and research purposes.

Victim Services (VSS) - Question identifier:VSS_R6S_2

National Internet-based directory of victim services

Justice Canada's Policy Centre for Victim Issues is developing a national Internet-based directory of victim services in Canada which will be available to the public. Information from this survey will be used to either populate the directory or update existing information. The directory will include survey information such as: Agency name, mailing address, information from Section 1 of the survey providing a profile of services offered by your agency and the clients served, as well as the contact information below.

Victim Services (VSS) - Question identifier:VSS_Q60

Telephone number

Long Answer Length = 10

Victim Services (VSS) - Question identifier:VSS_Q61

Fax number

Long Answer Length = 50

Victim Services (VSS) - Question identifier:VSS_Q62

E-mail address

Long Answer Length = 25

Victim Services (VSS) - Question identifier:VSS_Q63

Website

Long Answer Length = 25

Victim Services (VSS) - Question identifier:VSS_Q6S_3

If you agree to your organization's contact and profile information being included in the national internet-based directory of victim services, please complete the following section, check "Yes" and sign the consent form.
If you do not agree, check "No".

1: Yes, I authorize the disclosure of the information described above to Justice Canada for the purpose of populating their national Internet-based directory of victim services.
2: No, I do not authorize the disclosure of the information described above to Justice Canada for the purpose of populating their national Internet-based directory of victim services.

Victim Services (VSS) - Question identifier:VSS_Q1F

Name of program/victim service

Long Answer Length = 50

Victim Services (VSS) - Question identifier:VSS_Q2F

Name of Authorizing Officer (Please Print)

Long Answer Length = 30

Victim Services (VSS) - Question identifier:VSS_Q3F

Title of Authorizing Officer (Please Print)

Long Answer Length = 30

Victim Services (VSS) - Question identifier:VSS_Q4F

Telephone number

Long Answer Length = 10

Victim Services (VSS) - Question identifier:VSS_Q5F

Signature of Authorizing Officer

Long Answer Length = 30

Victim Services (VSS) - Question identifier:VSS_Q6F

Date (DD-MM-YYYY)

Long Answer Length = 8

Victim Services (VSS) - Question identifier:VSS_Q7F

Questionnaire completed by (block letters)

Long Answer Length = 30

Victim Services (VSS) - Question identifier:VSS_Q8F

Date (DD-MM-YYYY)

Long Answer Length = 8

Victim Services (VSS) - Question identifier:VSS_Q9F

Telephone number

Long Answer Length = 10

Victim Services (VSS) - Question identifier:VSS_Q1C

Thank you for taking the time to complete this questionnaire.

Please keep a copy of the completed questionnaire in the event that Statistics Canada contacts you for clarification of the information you have provided. This information is collected to assist in the development and assessment of policy, legislation, programs and other initiatives related to victims of crime and to assist in raising public awareness. Should you have any comments or questions regarding the questionnaire or the survey itself, please do not hesitate to contact us (telephone number provided in the instructions). The following space is provided if you would prefer to write down your comments. Please print clearly

Long Answer Length = 50

Date modified:: 2018-06-06

Language selection

Search and menus

Search

Victim Services Survey - 2011/2012

Table of Contents

Victim Services (VSS)