Thank you for completing this survey.  Your feedback will be reviewed to improve the quality of our services.

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* 1. Please enter your survey ID

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* 3. D003.  I am a Veteran (Participant).

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* 4. C002.  The Connections Team treats me with dignity and respect.

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* 5. C004.  The Connections Team respects my privacy and confidentiality.

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* 6. The Connections Team responds to my needs in a prompt and dependable manner.

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* 7. B005. My IRIS Consultant partners with me to identify services to meet my health and safety needs.

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* 8. My IRIS Consultant provides me with information that helps me/my family meet the outcomes of my IRIS Plan.

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* 9. B007.  IRIS has increased my access to transportation for medical appointments, activities in the community, employement, etc.

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* 10. CC03.  As a result of the IRIS program, I  now have the supports in place so that I feel safer inside my home.

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* 11. C005.  The IRIS services I receive through Connections improve the quality of my life.

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* 12. C006.  I am likely to recommend Connections IRIS Consultant Agency to my friends and family if they needed services in the future.

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* 13. D007.  In the last 6 months, how often have you had contact with your IRIS Consultant by video or phone?

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* 14. Why did you choose Connections?

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* 15. If other please specify

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* 16. D005.  Please select your relationship to the Participant:

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* 17. D001. Please select your age range (Participant).

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* 18. D008.  Please select your gender (Participant).

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* 19. D002.  Please select your race/ethnicity (Participant):

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* 20. Please share additional feedback:

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* 21. Name and Contact Number

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