Please respond as honestly as you can to the following questions. Your responses may affect the quality and types of services Counseling Alliance of Virginia will offer in the future. Thank you for assisting us in improving our services.

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* 1. How well did the counselors at Counseling Alliance of Virginia support your family?

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* 2. How would you rate the effectiveness Counseling Alliance of Virginia's admission/referral process?

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* 3. How clear were the treatment goals for your child and family?

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* 4. Treatment goals were individualized and strength based.

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* 5. Child and family improved their knowledge and awareness of healthy alternative ways of interacting.

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* 6. Was overall family functioning improved by restoring the family hierarchy?

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* 7. Was overall family functioning improved by addressing parent-child communication?

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* 8. Please identify the client's risk of being removed from the home.

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* 9. Please choose time span in which the client participated in services.

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* 10. Would you recommend Counseling Alliance of Virginia to another child/family for services?

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* 11. How can we improve our services?

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