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* 1. Please identify from which NOSH site you accessed a community program

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* 2. Please indicate which community service you will be providing feedback on

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* 3. Overall, how wold you rate the care and services you received?

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* 4. Would you recommend this program to others?

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* 5. How often do you feel staff treat you with dignity and respect?

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* 6. Do you feel you have enough say in planning your care?

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* 7. How often does staff listen carefully to you?

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* 8. Did staff help you to access other services and supports available?

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* 9. How would you rate the overall quality of the food?

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* 10. What more can we do to improve the quality of care you have received?

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