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* 1. The staff and/or mediator explained the Community Impact Panel well.

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* 2. The staff and/or mediator showed interest in helping me express my thoughts and feelings.

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* 3. The staff and/or mediator made efforts to help me understand the community representatives.

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* 4. This program was successful in helping me express my thoughts and feelings.

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* 5. This program was successful in helping me to better understand the community.

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* 6. This program was successful in helping the community representatives understand me.

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* 7. Because of this program, I am better able to make decisions about my situation.

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* 8. Because of this program, I am better able to address new problems as they arise.

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* 9. Would you like for the case manager to follow-up with you?

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* 10. Please share any additional comments or information you think might be helpful for us to know.

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