Please answer the multiple choice questions and leave any comments/suggestions.

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* 1. Member # (Optional)

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* 2. How would you rate the frequency of the groups/activities at the Wellness Center that you attend or would like to attend?

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* 3. How would you rate the community integration groups?

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* 4. Have you been helped by the Wellness Center staff when needed?

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* 5. How relevant are the groups/activities to your recovery?

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* 6. How much do you agree with the following statement, "The Wellness Center is a consumer run program."

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* 7. How well do the groups/activities at the Wellness Center reflect your culture?

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* 8. Do the Wellness Center staff treat you with courtesy and respect?

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* 9. Would you recommend the Wellness Center to friends and family in recovery who are in search of similar activities?

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* 10. Approximately, how long have you been attending the Wellness Center?

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* 11. How many days a week do you visit the Wellness Center?

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* 12. How often do you participate in the community integration groups? (Community Integration group refers to social outings in the community.)

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* 13. In what language do you prefer groups/activities to be led?

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* 14. Which of the following represent your ethnic heritage? (Check all that apply)

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* 15. How would you describe your sexual orientation?

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* 16. What is your gender?

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* 17. What is your age?

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* 18. What are your barriers to participate in the community integration groups more?

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* 19. Please describe the atmosphere at the Wellness Center?

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* 20. Do you feel like your voice is being heard?

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* 21. What other meaningful activities do you engage in in the community?

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* 22. Are you currently seeking employment? If yes, what resources do you need?

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* 23. Do you have any other questions or comments?

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