1. PROGRAM EVALUATION SURVEY

If you used the services of the Discrimination and Harassment Counsel Program (DHC Program), please complete this program evaluation form. This questionnaire should take 10 minutes to complete. Your confidential and anonymous responses will be used to determine the effectiveness of our program and make improvements or changes where appropriate. Your comments are important to us.

To complete the questionnaire, simply scroll down and fill in your responses.

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* 1. When did you first contact the DHC Program?

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* 2. How did you contact the DHC Program?

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* 3. What was the time period between your first contact with the DHC program and your first exchange with the DHC?

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* 4. Do you believe that the DHC Program provided services in a timely manner?

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* 5. For how long and how often have you used the services of the DHC?

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* 6. The following Counsel provide or have provided the services of the DHC Program. Please indicate which Counsel provided services to you (you may select more than one):

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* 7. In what language did you request the services of the DHC?

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* 8. Did you receive the services in the language requested?

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* 9. Why did you contact the DHC? (you may select more than one)

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* 10. What types of services were provided to you by the DHC? (you may select more than one)

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* 11. Are there any other services that you would like the DHC Program to offer?

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* 12. Did you experience any difficulties or challenges in your relationship with the DHC?

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* 13. Was your contact with the DHC Program helpful to you? Please explain

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* 14. Was the information provided by the DHC clear?

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* 15. How did you hear about the DHC program?

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* 16. Did the DHC Program meet your needs/expectations? Please explain.

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* 17. Please rate the quality of the services provided by the DHC.

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* 18. What can we do to improve the DHC Program?

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* 19. Would you recommend this program to your friends or colleagues? Please explain.

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