Please rate the services that you received.

How would you rate...?

The convenience of the location where you received service

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* 1. The convenience of the location where you received service

How long you were on the waiting list for service.

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* 2. How long you were on the waiting list for service.

The time of day when services were scheduled.

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* 3. The time of day when services were scheduled.

The courtesy and respectfulness of staff.

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* 4. The courtesy and respectfulness of staff.

Information you were given to help you understand your child.

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* 5. Information you were given to help you understand your child.

Ways you learned to help your child.

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* 6. Ways you learned to help your child.

Opportunities to help make decisions about services.

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* 7. Opportunities to help make decisions about services.

The helpfulness of the service you received.

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* 8. The helpfulness of the service you received.

Overall, how would you rate the quality of the service you received.

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* 9. Overall, how would you rate the quality of the service you received.

Please provide us with any further comments.

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* 10. Please provide us with any further comments.

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