Javascript DHTML Drop Down Menu Powered by
"No one is useless in this world who lightens the burdens of another."
~ Charles Dickens ~
Does your abuser share your computer?
Find out how to hide your online activity here.

In Crisis?
Find Emergency Hotlines here
Free Website Translator


Please use the form below to put information about your service into the Domestic Violence Services Database.
Please note that you need to check the box that asks if you understand considerations about IPSV for your type of service,
but you may leave any other field blank if it is not relevant.
However, please fill in as much as you can to ensure that survivors have sufficient information about your service.

Thank you so very much for your assistance with this project.
Questions marked by * are required.

You recognise special considerations for IPSV Survivors? *
  • Yes
Service Name:
Website Address:
Would you like to upload a brochure for your service?
E-mail Contact (may inlude link to email form):
Phone Contact incl. area code (if appropriate):
Is there a free Crisis Number?
Hours of Service Availability (If different services//hours - i.e crisis line and face-to-face counselling times, start new line for each).
Cost of Services (please choose):
If costed, do you wish to elaborate (for example, can a client get reduced costs if she has a referral)?
Counselling Approaches used i.e. Psychodynamic, Feminist-based, Combination (Please elaborate)
What types and modes of counselling does your service offer i.e. Crisis, short-term, long-term, telephone, face-to-face, email, online chat?
Other Services Offered i.e Police advocacy, Support groups suitable for IPSV survivors, referrals to other community resources for abused women (Please elaborate)
Do you have a message of outreach for IPSV survivors who may seek out your service?
Other information about your service you think is necessary?

©2002 - 2014
Copying of any part of this site without permission or appropriate acknowledgment is strictly prohibited
You are visitor number