STRIDE Client Agency Survey 2010

1. Default Section

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This survey is your opportunity to give input into the services you have received from us over the past year. We would like to know how we are doing and how we can improve.

The Survey only takes about five minutes to complete. There are two sections, please complete both before exiting.

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1. Date Completed

	DD		MM		YYYY
:	Date Completed : Day	/	Month	/	Year

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2. Where do you receive services?

Where do you receive services? North Halton

South Halton

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3. What area of service have you participated in over the past year? (Select only one). If you have participated in both programs, please check Worksite Training Program.

What area of service have you participated in over the past year? (Select only one). If you have participated in both programs, please check Worksite Training Program. Worksite Training Program

Supported Employment

STRIDE Client Agency Survey 2010

1. Default Section

*1. Date Completed

*2. Where do you receive services?

*3. What area of service have you participated in over the past year? (Select only one). If you have participated in both programs, please check Worksite Training Program.

*
1. Date Completed

*
2. Where do you receive services?

*
3. What area of service have you participated in over the past year? (Select only one). If you have participated in both programs, please check Worksite Training Program.