1. Please select the best answer for each question.

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* 1. Name (optional):

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* 2. What is your age?

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* 3. Gender:

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* 6. Religious/Cultural Affiliation:

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* 7. What is your primary language?

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* 8. Please enter your City/Town:

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* 9. Which category best describes your household income level?

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* 10. How often does your Child Advocate involve you in case/service planning?

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* 11. Does your Child Advocate provide you the opportunity to offer feedback/opinions about your case and your family's needs?

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* 12. Has it been explained to you why your child(ren) is/are under ChildNet's supervision?

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* 13. How would you score your participation with completing your case plan tasks?

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* 14. Are the services helping move your case forward?

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* 15. Does your Child Advocate provide you with updated information regarding changes in your case (e.g. changes in placement, court hearings, meetings, etc.)?

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* 16. Does your Child Advocate include you in decisions regarding your child(ren)'s mental health, education, and physical health needs?

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* 17. Does you Child Advocate consider your cultural and religious background in service planning?

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* 18. Are you involved in the decision making process regarding your child(ren)'s return home or securing another permanent placement for your child(ren)?

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* 19. Are you satisfied with your child(ren)'s current placement?

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* 20. Do you have visits and other contact (phone calls, emails) with your child(ren)?

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* 21. Are you satisfied with how quickly you received services?

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* 22. What is your overall level of satisfaction with ChildNet's involvement in your case?

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* 23. What do you like most about your Child Advocate?

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* 24. How can ChildNet do better?

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* 25. How did you take this survey?

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