We want to hear from you about how we can make the A Place To Be community even better!

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* 1. I am a:

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* 2. If you could choose where you could access APTB services, would you prefer Middleburg or Leesburg?

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* 3. How long have you been coming to APTB?

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* 4. How did you first hear about us?

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* 5. What is the primary therapeutic reason you or your loved one comes to APTB?

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* 6. Please select all the services you have participated in at APTB in the last year (select all that apply):

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* 7. How would you rate your satisfaction with the following:

  Very dissatisfied Dissatisfied Neutral Satisfied Very Satisfied N/A
Your or your loved one's achievement of individual therapeutic goals
The quality and amount of interaction you have with your therapist
Opportunities for you or your loved one to participate in our recitals and productions
The number of activities for parents/caregivers
The overall environment and cleanliness of our facility
The transparency and ease of paying our invoices

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* 8. What has been the greatest impact on your family over your time here? Is there a specific skill you learned here that you utilize outside of APTB?

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* 9. What other services would you like to see us offer? What would you like to see us improve on?

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* 10. How likely are you to recommend APTB to your family or a friend?

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