We want to know about your experience at Oakland Family Services. Your responses to the statements below will help us know where we are doing well and where we could do better in serving our customers. We would appreciate it if you could take a moment to complete this survey. Use the scale of "1" to "5" to indicate how much you agree with each statement. Thank you!

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* 1. When I come to Oakland Family Services, I feel physically safe.

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* 2. When I come to Oakland Family Services, I feel emotionally safe.

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* 3. People here really listen to what I have to say about things.

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* 4. I have a great deal of control over the kinds of services I receive.

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* 5. Oakland Family Services offers me a lot of choices about the services I receive.

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* 6. The people here act in a respectful and professional way toward me.

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* 7. I trust the people who work here will do what they say they are going to do, when they say they are going to do it.

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* 8. Oakland Family Services provides me good information about what to expect from its staff and services.

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* 9. I trust the people who work here at Oakland Family Services.

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* 10. I play a big role in deciding how things are done here at Oakland Family Services.

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* 11. When decisions about my services or recovery plan are made, I feel like I am a partner with the staff, that they really listen to what I want to accomplish.

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* 12. The staff is willing to work with me (rather than doing things for me or to me).

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* 13. I feel stronger as a person because I have been coming here.

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* 14. The staff here help me learn new skills that are helpful in reaching my goals.

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* 15. The staff here are very good at letting me know that they value me as a person.

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* 16. Oakland Family Services recognizes that I have strength and skills as well as challenges and difficulties.

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* 17. The staff explain to me why they asked about difficult experiences in my life (like violence or abuse).

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* 18. The staff are as sensitive as possible when they ask me about difficult or frightening experiences I may have had.

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* 19. I feel safe talking with staff here about my experiences with violence.

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* 20. What program are you attending?

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* 21. Which location are you attending for services?

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