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1. Which best describes your role?

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2. How long have you been involved with our services?

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3. Do you feel that your treatment plan addresses your individual needs and goals?

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4. On a scale of 1 to 5, how satisfied are you with the quality of care you receive?

i We adjusted the number you entered based on the slider’s scale.

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5. Do you feel informed about your loved one's treatment and progress?

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6. How satisfied are you with the level of communication from staff?

i We adjusted the number you entered based on the slider’s scale.

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7. How effective is our organization in collaborating with your agency?

i We adjusted the number you entered based on the slider’s scale.

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8. Do you feel that we communicate clearly and consistently with your organization?

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9. Was it easy to access our services when needed?

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10. Were you provided with clear information about what to expect from our program?

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11. Do you feel that you (or your loved one) are treated with respect and dignity by staff?

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12. Are you aware of your (or your loved one's) rights as a participant in our services?

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13. Have you observed (or experienced) positive changes as a result of our services?

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14. On a scale of 1 to 5, how well do our services meet your expectations?

i We adjusted the number you entered based on the slider’s scale.

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15. What do you feel is the greatest strength of our program?

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16. What improvements would you recommend?

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17. Is there anything else you would like to share about your experience with our organization?

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