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* 1. Number of years you have known about this organization

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* 2. Are you employed in an organization that refers persons to our services

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* 3. If Yes, please select the Type/Focus of your organization that most applies

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* 4. When contacting us by phone, your call is answered in a prompt and courteous manner

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* 5. Our employees return phone calls and/or answer email messages in a timely manner

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* 6. Requests for information about our services, or about an individual receiving services are responded to in a timely manner. 

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* 7. I have been treated with respect each time I have had contact with your organization

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* 8. Persons who request services, and meet the requirements for admission to a program, are admitted in a timely manner

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* 9. Please provide any specific suggestions you may have for improving our organization and our services

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* 10. Please provide any additional comments you may have related to your experience with our organization

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