1. Purpose

The people who provide the program that you are/have been involved in want to know what you think of your experience. We want to find out what we're doing right and what we could do better, and to learn from you how we can improve our overall service. We thank you for completing this survey.

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* 2. Are you generally satisfied with the program you are attending?

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* 3. Were you offered support to meet the goals of the program?

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* 4. Were you treated with respect and courtesy by staff?

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* 5. If you wanted to, were you able to share your thoughts about the program with staff?

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* 6. When you had problems, did staff offer to help you with them?

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* 7. Do you feel like the staff cared about you as a person?

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* 8. Were you offered opportunities to learn things that will help you?

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* 9. Did you have the opportunity to participate in activities while in the program?

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* 10. Were you offered opportunities to participate in positive activities away from the program?

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* 11. Did you feel safe at the program?

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* 12. Did you get the chance to make decisions about things that affected you?

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* 13. Were you able to share your thoughts about things you wanted or needed with staff?

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* 14. What did you like most about the program?

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* 15. What didn't you like about the program?

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* 16. Comments or suggestions:

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* 17. Do you want to talk to a senior manager about your experience with WJS?

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* 18. What do you want to talk about?

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* 19. If you answered "yes" to #17, please provide your:

Thank you for completing this survey. What you told us is important to us, and we'll use it to improve our service.

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