SRT Services Participant Survey Name We are so proud of you! To receive a free gift from SRT Services be sure to provide your address:Address City, State, ZIP Country Email Phone Number Which healing program were you a part of? AbAnon Womens AbAnon Mens SAVAnon Womens SAVAnon Mens MiSAnon Womens Before joining my group I was feeling…. After joining this group, I feel…. This group has helped me….. I have identified key people in my life I feel comfortable sharing my story with? Yes No I would like to join another group for continued healing. (If you answered yes, an intake coordinator will be reaching out to you for group placement). I would like help finding an AbAnon group for healing from past abortion(s). I would like help finding a SAVAnon group for healing from sexual abuse/assault. I would like help finding a MiSAnon group for healing from a miscarriage/stillbirth. None of the above. I would rate my experience with SRT Services healing group as: Extremely satisfied Somewhat satisfied Somewhat unsatisfied Extremely unsatisfied Tell us more about your experience and the reason for the above rating. I would recommend SRT services healing groups to others: Highly recommended Recommended Would not recommend Tell us more about the reason for your recommendation above. I would like to help others by: (Check all that apply.) Making a contribution to SRT Services. To make a donation go to: www.srtservices.org/give or mail a check to PO Box 11664, Spokane Valley, WA 99211 I am interested in volunteering; please contact me. None of the above My facilitators were: How did you hear about us? SUBMIT
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