Your comments are important to us. Please take a moment to fill out this survey.

How strongly do you agree or disagree with each of the following statements?

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1. I like the services that I receive.

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2. I have access to the program during times other than usual work day hours including evenings, weekends, and holidays.

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3. I have access to all of the program activities.

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4. I am able to make my own schedule.

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5. I am a part of all of the decisions made at the program.

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6. I work side-by-side with staff to accomplish tasks and activities in the program.

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7. I actively participate in (scheduled) planned program activities and am able to choose what I want to do.

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8. I feel the work and activities I do in the program are meaningful/ significant.

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9. I receive educational services/ resources/supports in the program.

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10. I receive employment services/ resources/supports in the program.

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11. I have opportunities to give and receive support locating community resources.

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12. I have opportunities to participate in activities that promote my physical well being.

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13. I deal more effectively with daily problems.

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14. I am better able to establish and maintain positive relationships.

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15. I am better able to deal with crisis.

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16. I am developing a better self-image.

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17. I feel more optimistic (hopeful) about the future.

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18. I feel connected to the community through the activities provided by the program.

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19. I am managing my symptoms better.

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20. The comments I want to make about the program and services I received are:

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