We value your feedback so we can improve our services.

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* 1. Program

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* 2. Location

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* 3. Tick one box in each line below

  Strongly Disagree  Disagree Neutral Agree Strongly Agree  Not Applicable
I was treated with respect
I was given information about my rights
I feel more confident about parenting
I was given consistent information
Staff worked with me to set goals
I achieved my goals
I was involved in making decisions about support
Information provided was easy to understand
I felt that I could speak up if needed
My cultural needs were respected and met
I would recommend QEC to other families
My family has experienced positive changes
Staff clearly explained the program at intake
Staff left contact information at intake
Staff were reliable

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* 4. Which part of the program was most helpful?

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* 5. If QEC could improve in one area, what would it be?

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* 6. I am interested in learning about how else I can help QEC to improve its services.

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* 7. Date:

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* 8. Please share any other comments or suggestions

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