1. Completing this survey will help us continue to provide high quality services.

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* 1. Optional Identifying Information:

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* 2. During this episode of treatment, my child has attended therapy and/or medication management at Lansing Psychological Associates:

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* 3. The medication(s)my child was prescribed were effective in reducing his/her symptoms/difficulties

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* 4. Treatment Outcomes

  Not at All Some of the Time About Half of the Time Most of the Time All of the Time
My child's symptoms have improved
My child's understanding of him/herself and his/her problems have improved
My child's understanding of other people in their life or people in general have improved
My child feels capable of making good choices and helpful changes in his/her life if needed

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* 5. Performance of LPA Staff

  Not at All Some of the Time About Half of the Time Most of the Time All of the Time
The staff at LPA handles matters in a professional and respectful manner
The staff at LPA attempt to be helpful and effective with payment, insurance, and scheduling procedures or problems

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* 6. My overall feelings about the services at LPA are:

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* 7. If symptoms were to recur or new symptoms were to develop, I would

T