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Exit Survey
 
 
What year did you enter the shelter?
 
2015
 
2016
 
2017
 
 
 
What month did you enter the shelter?
 
January
 
February
 
March
 
April
 
May
 
June
 
July
 
August
 
September
 
October
 
November
 
December
 
 
 
What was the date you entered the shelter?
 
1st
 
2nd
 
3rd
 
4th
 
5th
 
6th
 
7th
 
8th
 
9th
 
10th
 
11th
 
12th
 
13th
 
14th
 
15th
 
16th
 
17th
 
18th
 
19th
 
20th
 
21st
 
22nd
 
23rd
 
24th
 
25th
 
26th
 
27th
 
28th
 
29th
 
30th
 
31st
 
 
 
What year did you leave the shelter?
 
2015
 
2016
 
2017
 
 
 
What month did you leave the shelter?
 
January
 
February
 
March
 
April
 
May
 
June
 
July
 
August
 
September
 
October
 
November
 
December
 
 
 
What date did you leave the shelter?
 
1st
 
2nd
 
3rd
 
4th
 
5th
 
6th
 
7th
 
8th
 
9th
 
10th
 
11th
 
12th
 
13th
 
14th
 
15th
 
16th
 
17th
 
18th
 
19th
 
20th
 
21st
 
22nd
 
23rd
 
24th
 
25th
 
26th
 
27th
 
28th
 
29th
 
30th
 
31st
 
 
 
Why did you stay in the shelter?
 
Sought safety from abusive intimate partner
 
Sought safety from a grown child
 
Economic reasons only
 
Other
    
 
 
 
If you were abused, how were you abused?
 
Hit once
 
Hit multiple times
 
Kicked once
 
Kicked multiple times
 
Raped once
 
Raped multiple times
 
Life threatened once
 
Life threatened multiple times
 
One attempt on your life
 
Multiple attempts on your life
 
Emotional abuse
 
Other
    
 
 
 
How would you rate your self-esteem upon entering the shelter?
 
High
 
Medium
 
Low
 
 
 
How would you rate your level of calm upon entering the shelter?
 
Mostly calm
 
Often calm
 
Rarely calm
 
 
 
Had you ever meditated before entering the shelter?
 
Yes
 
No
 
 
 
If you had meditation experience before entering the shelter, what kind of meditation was it?
 
Mindfulness
 
Lovingkindness
 
Compassion
 
Tantric
 
Other
    
 
 
 
If you meditated before entering the shelter, how often did you meditate?
 
Once weekly
 
Twice weekly
 
More than twice weekly
 
Daily
 
Monthly
 
 
 
If you had a meditation practice before entering the shelter, how long did your meditation usually last?
 
5 minutes
 
10 minutes
 
15 minutes
 
20 minutes
 
30 minutes
 
longer than 30 minutes
 
 
 
Did you meditate at the shelter?
 
Yes
 
No
 
 
 
If you meditated at the shelter, how often did you meditate?
 
Daily
 
Weekly
 
Monthly
 
Other
    
 
 
 
If you had a meditation practice at the shelter, which meditation did you engage in the most?
 
Mindfulness
 
Lovingkindess
 
Wholeness
 
Other
    
 
 
 
If you had a meditation practice in the shelter, on average, how many minutes did you sit in meditation?
 
5 minutes
 
10 minutes
 
15 minutes
 
20 minutes
 
30 minutes
 
more than 30 minutes
 
 
 
Did you use the affirmation cards?
 
Yes
 
No
 
 
 
Did you read The Retreat Box Book (in part or in whole)?
 
Yes
 
No
 
 
 
Did reading the affirmation cards and or book have a positive impact on your self-esteem?
 
Yes
 
No
 
 
 
Upon leaving the shelter, how would you rate your calm?
 
Mostly calm
 
Rarely calm
 
Sometimes calm
 
 
 
Do you envision making meditation a regular part of your life?
 
Yes
 
No
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually