Human Trafficking Victim Shelter Exit Interview

General Information

Client Name Date of Interview Interviewer Name Shelter Admission Date Shelter Exit Date

Background and Experience in Shelter

Reason for Shelter Admission Type of Support Received Length of Stay (in days) Main Challenges Faced During Stay

Main Outcomes

Progress Achieved During Stay Unmet Needs

Exit Reason & Next Steps

Reason for Leaving Shelter Next Housing Situation Follow-up Services Required

Feedback and Suggestions

What did you find most helpful about the shelter? Areas for Improvement Additional Comments