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* 1. The # stamped onto the survey I received in the mail is:

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* 2. Options’ staff treat me with respect and kindness.

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* 3. The services I receive are helpful to me.

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* 4. Options' staff help me access the entitlements and financial resources I need.

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* 5. Options' staff provide me with sufficient information about my chronic conditions (some examples are: HIV/AIDS, diabetes, heart problems etc.).

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* 6. I understand my rights as an Options client.

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* 7. Staff respect my confidentiality.

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* 8. Options is helping me to reach my goals.

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* 9. I know who to contact at Options when I need information.

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* 10. I am encouraged to participate in the services I receive at Options

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* 11. Participating in this program has had a positive impact on the quality of my life.

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* 12. I would recommend Options to others as a great place to receive services.

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* 13. Overall, I am satisfied with Options.

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* 14. For how long have you received services from Options?

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