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* 1. I was able to receive services at a time convenient for me.

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* 2. Staff answered my questions or referred me to someone who could.

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* 3. The office/clinic was clean.

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* 4. Staff took time to explain things to me in a way I understand.

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* 5. Staff respected my cultural and ethnic background.

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* 6. I felt comfortable sharing my feelings/experiences with staff.

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* 7. I felt safe receiving services or working with staff from LCGHD.

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* 8. I was able to receive services in a language I understand.

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* 9. I feel I was treated fairly.

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* 10. Do you have anything else you'd like to share?

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