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* 1. I feel that my son/daughter/ward is benefitting from the services provided by Neumann Family Services.

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* 2. The Individual Program Plan (IPP) reflects the strengths and needs of my son/daughter/ward.

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* 3. I have the opportunity to give input about the strengths and needs of my son/daughter/ward.

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* 4. Neumann staff treat me and my son/daughter/ward with respect.

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* 5. I am confident Neumann staff have the qualifications needed to work with my son/daughter/ward.

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* 6. I feel Neumann facilities are safe and clean.

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* 7. Overall, I am satisfied with the services being provided by Neumann Family Services.

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* 8. Please check the programs that your son/daughter/ward is enrolled in (select all that apply)

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* 9. Please add any comments you feel would help us improve our programs. Please use this section to indicate if you would like to be involved in volunteering or other related activities. Also indicate here if you would be interested in family support services if they were offered.

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* 10. Please provide your email address so that we can keep you updated about important news at Neumann.

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