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* 1. Clinic Location

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* 2. Do you know what level of care/what services you are eligible for?

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* 3. Staff helped me take charge of managing my illness.

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* 4. Staff told me what my medications are and what side effects to watch out for.

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* 5. Staff ensured that I knew who to contact in a time of crisis and told me about the crisis hotline.

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* 6. Staff respect my wishes about who is and who is not to be given information about my treatment.

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* 7. Staff return calls promptly.

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* 8. Because of services, I am better able to cope with my symptoms and take care of my needs.

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* 9. Because of services, I am better able to handle things when they go wrong.

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* 10. Because of services, my symptoms are not bothering me as much

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* 11. Are you satisfied with the amount of services you are receiving?

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* 12. I feel free to complain and know who to complain to.

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* 13. I am treated with dignity and respect.

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* 14. I like the services that I received here.

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* 15. If I had other choices, I would still get services at this agency.

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* 16. If you receive Integrated Health Care (CPCC Integrated Program) are you satisfied with the medical staff services?

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* 17. How would you rate the overall quality of our services?

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* 18. I am currently having trouble receiving services due to transportation related problems.

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* 19. Comments:

0 of 19 answered
 

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