50% of survey complete.

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

* 2. What is your relationship to CHSBC ?

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

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

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

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

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

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

* 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."

* 10. Would you recommend this program to others?

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

* 12. Please provide additional comments below.

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