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* 1. I have received services

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* 2. (For the next two questions, please think about when you first contacted Cumberland Mountain for an appointment.)

The person I talked to on the phone or in person was friendly

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* 3. The first appointment I received was as soon as I wanted it.

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* 4. Friendliness and helpfulness of the staff when I check in

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* 5. The facility where I receive services is clean

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* 6. The professional(s) helping me is prepared to provide services.

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* 7. The attention staff pays to what I have to say is:

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* 8. The professional helping me understands my concerns.

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* 9. The staff are thorough and competent in helping me deal with my problems

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* 10. How many days a week do you usually participate in face to face services?

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* 11. Continue to think about the staff you have worked with and please rate your agreement with the following statements:

The staff focuse on helping me achieve my goals for my service

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* 12. The staff give me as much information as I need about what I can do to manage my condition

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* 13. The staff work as a team player(s) with other professionals to coordinate my care,i.e., doctor, psychiatrist, schools or other community agencies

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* 14. All things considered, how would you rate your overall satisfaction with the service you receive at Cumberland Mountain Community Services?

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