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* 1. What services do you currently receive and what is the location of your services?

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* 2. Do you consider the services you receive from Northland Counseling Center effective? 

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* 3. Would you recommend this agency to a friend or family member?

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* 4. Are you aware of your mental health diagnosis?

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* 5. Do you currently use drugs or alcohol?

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* 6. If you do use drugs or alcohol, would you like to receive more support around your use?

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* 7. Are you currently working or volunteering?

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* 8. Are you aware of the Northern Opportunity Works ( N.O.W.) Program?

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* 9. Are you currently enrolled in school (Adult Ed, college classes, ARMHS groups)?

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* 10. Do you feel comfortable in social settings? If not, what could help you to feel more comfortable?

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* 11. Do you have people you consider close friends or have strong relationships with?

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* 12. Do you work on relationship skills with your ARMHS or PSS staff?

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* 13. Are you learning skills in the ARMHS program that can help you take care of yourself independently?

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* 14. Do you see your medical doctor as needed? If not, do you need more support getting connected to your medical doctor?

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* 15. Do you see your dentist as needed? Do you need more support getting connected to your dentist? 

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* 16. Are you able to maintain your finances (complete insurance paperwork on time, maintain social security beneifts) ?

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* 17. Are you currently satisfied with your housing situation?

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* 18. If you are dissatisfied with your housing situation, how could your ARMHS/PSS worker help you?

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* 19. Are you aware of the public transportation options available to you?

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* 20. Do you feel comfortable asking questions about your treatment plan?

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* 21. Do you feel less bothered by your symptoms since you have started your services?

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