Medical Care? yes no

Do you need relocation? yes no
Is there somewhere the victim can go? yes no

Is there a need for medical attention? yes no
Have you contact the authorities? yes no TRO? yes no

Legal Help? yes no

Do you have children? yes no Have the children been abused? yes no

Is there a need for medical attention? yes no

How long has abuse been occuring?

Would you accept counseling? yes no
Are there any programs in the community? yes no
Is there shelter avaliable? yes no