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* 1. Choose the three most valuable services your CCR&R provides:

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* 2. Please rate the following.  (Leave question blank if unsure)

  1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree
Staff are knowledgeable
Staff answered my question(s)
Staff are professional
Staff are involved in community collaborations

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* 3. Do you/would you refer CCR&R services?

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* 4. What improvements could your CCR&R make or what recommendations do you have?

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* 5. What is your greatest concern about early care & education in your community?

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* 6. Please make any overall statements, comments, or testimonials regarding your experience with your CCR&R.  We value your feedback!

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* 7. Optional:  Name of agency & name of person filling out this survey

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* 8. Would you like to be contacted about this survey?

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