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* 1. Overall, how satisfied or dissatisfied are you with Access Mental Health Agency?

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* 2. Which of the following words would you use to describe the overall effectiveness of our services? Select all that apply.

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* 3. How well do our behavioral health services meet your needs?

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* 4. How would you rate the quality of over services?

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* 5. How responsive have we been to your questions or concerns about our services?

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* 6. Do you feel that Access Mental Health is sensitive to the needs of the culturally diverse? 

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* 7. How long have you been a community partner of Access Mental Health Agency?

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* 8. How likely are you to continue to refer individuals in need of behavioral health services to Access Mental Health Agency?

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* 9. How likely is it that you would recommend our services to a friend or colleague?

Not at all likely
Extremely likely

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* 10. Do you have any other comments, questions, or concerns?

T