JAF Agent Questionnaire Question Title 1. How would you describe your client's race or ethnicity? Asian Black/African American White/Caucasian Latino/Hispanic American Indian Pacific Islander Other Prefer Not to Answer Question Title 2. What is your client's gender? Female Male Question Title 3. Why was your client at the Juvenile Alternative Facility? Hold Detention Evaluation Program Other (please specify) Question Title 4. The staff accurately identified my client's needs and worked with him/her to develop goals and a plan to meet those goals. Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Question Title 5. My interaction with the staff has been positive and respectful. Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Question Title 6. I feel that my client was treated with care and respect. Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Question Title 7. Staff met all of the client's program needs, from school programs to developing discharge plans. Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Question Title 8. The JAF is clean, well-organized, safe, and secure. Strongly Disagree Disagee Neutral Agree Strongly Agree Strongly Disagree Disagee Neutral Agree Strongly Agree Question Title 9. I believe that my client's stay at the JAF met his/her immediate needs. Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Question Title 10. I believe that my client's stay at the JAF will have a positive impact in my client's life (now or in the longer term). Strongly Disagree Disagee Neutral Agree Strongly Agree Strongly Disagree Disagee Neutral Agree Strongly Agree Done