www.familiesfirstfl.com

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* 1. What services do you receive at Families First of Florida?

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* 2. Which location do you receive your services from?

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* 3. How are you related to the client?

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* 4. I consider myself a:

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* 5. My age group is:

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* 6. How long have services been received from Families First of Florida?

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* 7. Making the initial intake appointment was easy and scheduled timely.

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* 8. Overall, what is your satisfaction with the services you received?

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* 9. Overall, how convenient was it for you to use Families First of Florida's services?

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* 10. I would recommend Families First of Floirda

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* 11. I feel like the services provided by Families First of Florida have helped me.

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* 12. Please share the name of your service provider (i.e. therapist, psychiatrist etc.)

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* 13. What else do you want us to know?

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* 14. Please complete the following if we can contact you:

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