50% of survey complete.

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* 1. Please place a check mark (√) in the box beside the program(s) you are rating with this survey.

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* 2. What is your relationship to CHSBC ?

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* 3. Do you feel the communication between the program and yourself is:

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* 4. Do you feel the staff are approachable and professional?

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* 5. Do you feel that services provided by this program have led to positive changes for individuals served?

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* 6. What aspects of the program do you like?

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* 7. What aspects of the program do you think need improvement?

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* 8. What changes would you like to see in the program?

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* 9. Do you believe that CHSBC's Mission Statement is reflective of our services?

"To support individuals with disabilities to achieve their optimal level of independence through innovative services, education and community integration."

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* 10. Would you recommend this program to others?

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* 11. Overall, I would rate my satisfaction with the quality of the program as?

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* 12. Please provide additional comments below.

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