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Children's Programs

 

1. I am satisfied with the services provided by the Children's Programs.

I am satisfied with the services provided by the Children's Programs.   Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Comments

2. My needs are addressed promptly.

My needs are addressed promptly.   Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Comments

3. The Family Selected Supports (FSS) Program helps meet my child's/family needs.

The Family Selected Supports (FSS) Program helps meet my child's/family needs.   Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Comments

4. I am involved in planning services for my child.

I am involved in planning services for my child.   Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Comments

5. My child enjoys the outings (Zoo Lights, Circus, etc.).

My child enjoys the outings (Zoo Lights, Circus, etc.).   Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Comments

6. Suggestions for improvement to Children's Programs:

Suggestions for improvement to Children's Programs:

7. Additional comments:

Additional comments:

8. Name (optional):

Name (optional):