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* 1. What program do you or your child participate in at St. Joseph's Villa?

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* 2. How long have you or your child received services in the program selected above?

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* 3. I was given written information about my rights and responsibilities as a client/student.

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* 4. The people who work for St. Joseph's Villa treat me/my child with respect and courtesy.

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* 5. St. Joseph's Villa asks me about my ideas on how to improve its services.

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* 6. I know where to go or whom to speak to if I have a complaint.

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* 7. The staff is respectful of my/my child's confidentiality and privacy.

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* 8. St. Joseph's Villa's buildings, offices, and campus are clean and well kept.

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* 9. I feel St. Joseph's Villa creates a safe environment.

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* 10. I help plan my/my child's services and goals.

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* 11. St. Joseph's Villa is responsive in returning my phone calls or answering my emails.

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* 12. I would recommend St. Joseph's Villa to my family and friends.

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* 13. If I needed help or services again, I would come back to St. Joseph's Villa.

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* 14. Overall, I am satisfied with the services that I am receiving.

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* 15. Please provide any ideas on how we could improve our services.

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* 16. If you answered "No" to any question or if you would like to add additional comments, please respond below.

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