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1. How would you describe your child's race or ethnicity?

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2. What is your child's gender?

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3. Why was your child at the Juvenile Alternative Facility?

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4. My child was housed in a clean, safe environment.

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5. My child had access to good quality medical care, if needed.

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6. My child was provided with good, supportive school services.

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7. My child was treated with care and respect.

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8. My family was treated with care and respect.

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9. I/we had a sufficient amount of quality communication with the staff.

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10. I/we had sufficient opportunities to communicate with my child.

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11. I/we feel that my child understands why he/she was at the JAF, and worked with JAF staff, our family and/or others to develop a workable transition or treatment plan.

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12. Is there anything else you would like to add?

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