We at Partners for Kids and Families are committed to providing quality services.  In our continuing effort to better serve you and your family, we would appreciate you taking a few moments to complete the following survey.  Your input is valuable and will enable us to evaluate and serve you better in the future.
 
ALL INFORMATION PROVIDED WILL BE CONFIDENTIAL.

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* 1. On a Scale from 1 to 5, 1 poor and 5 excellent, how would you rate your experience with Telehealth (Audio-visual /Audio Only)?

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* 2. On a scale from 1 to 5, 1 not comfortable and 5 high level of comfort, rate your comfort level with meeting with your Care Manager in person.

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* 3. On a scale from 1 to 5, 1 not comfortable and 5 high level of comfort, rate your comfort level with meeting with your Care Manager in person at Partners for Kids and Families office or in the community.

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* 4. My voice is heard and guides the team process.

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* 5. My family’s values and preferences are treated with dignity and respect.

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* 6. I have been linked to resources and supports that will help me achieve my goals.

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* 7. My Child and Family Team helps me see my strengths.

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* 8. I feel that my family is able to effectively manage the crises listed in our Family Crisis Plan.

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* 9. On a scale from 1 to 5, 1 not satisfied and 5 high level of satisfaction, rate your experience with Partners for Kids and Families.

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* 11. Please enter your Care Manager's name.

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* 12. Do you have any suggestions on how we can improve our services or agency?

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