1. Satisfaction Survey

Your honest feedback helps us provide the best service possible. Please let us know whether we met your needs by completing this questionnaire and commenting on any aspect of your experience, positive or negative. Thank you for completing this survey.

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1. Initial Contact

  Strongly Agree Agree Neutral Disagree Strongly Disagree Doesn't Apply
I was satisfied with the way that my initial call was handled.
Services offered were explained clearly.
My questions were answered effectively.
The orientation/intake meeting was helpful.

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2. Adult Groups

  Strongly Agree Agree Neutral Disagree Strongly Agree Doesn't Apply
The group leader helped the group stay on topic.
The group leader was knowledgeable.
Everyone in the group had opportunities to participate.
This support group experience was helpful to me.

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3. Closing

  Strongly Agree Agree Neutral Disagree Strongly Disagree Doesn't Apply
We closed because we felt we were ready to leave.
We closed because we had other commitments.
We closed because the group was not helpful.

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4. Approximate length of time you attended:

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5. Please share any additional ideas or recommendations that could help us improve our services:

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6. May we use your comments in our newsletter, a brochure or in a grant funding request?

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7. Optional:

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