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1. My counsellor/facilitator helped me identify my issues/concerns.

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2. My counsellor/facilitator developed a plan in consultation with me.

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3. The sessions have led to improved outcomes/wellbeing for you or your family/whānau.

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4. How satisfied were you with your counselling/facilitation?

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5. Overall, how would you rate the service you received from the staff at ChangeAbility?

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6. Were you needs met by the agency (cultural needs, safety needs, referral options provided, seen in a timely manner)

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7. Do you have any comments or suggestions on how we can improve the services we offer?

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8. Is there anything else you would like to tell us about the service?

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9. What is your first name?

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10. What was your counsellors/facilitators first name?

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