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The Brain Injury Alliance of Washington is very interested in your feedback regarding the quality of service you received from the Washington TBI Resource Center. Please take this brief survey to share your opinions with us.

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* 1. Please tell us the name(s) of the Resource Center Staff from whom you received support:

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* 2. Which service(s) did you receive through the Washington TBI Resource Center? Please select all that apply.

Please rate your response based on your feelings toward each statement as it relates to your experience with the Washington TBI Resource Center.

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* 3. Overall, I was satisfied with my experience with the Washington TBI Resource Center.

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* 4. The Staff who provided support were polite and respectful toward me.

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* 5. I was comfortable being open and honest with the Staff about my needs/concerns.

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* 6. The Washington TBI Resource Center provided me with options regarding resources/referrals.

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* 7. The Washington TBI Resource Center met my needs.

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* 8. The Washington TBI Resource Center provided me with help in a timely manner.

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* 9. I will seek support from the Washington TBI Resource Center in the future.

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* 10. I will reccomend the Washington TBI Resource Center to other people.

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* 11. Do you have any suggestions as to how the Brain Injury Alliance of Washington could improve the services of the Washington TBI Resource Center? Please use names of those who assisted you and dates you contacted when possible. If you would like follow up, please provide your name and contact information.

Thank you for participating in our survey.  We appreciate you taking the time to help us improve our services.

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