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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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