Thank you for taking time to complete a satisfaction survey for us. Our records indicate you received services from SPARC in 2023. Please share with us your experiences as we strive to provide the best services possible, but can only do so through your valuable feedback. 

Your feedback will in no way jeopardize your services with us.  Please do not share any confidential/private health information through this survey. This would include your name, DOB, etc. 

Thank you!

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* 1. Please let us know the name of the staff/team that work with you?

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* 2. How would you rate the quality of the service?

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* 3. Please rate the below statements on a scale of Never to Always

  Never  Rarely Sometimes Usually  Always 
My staff/team spends the time to get to know me and what is important to me
My staff/team comes to see me at days and times that are convenient for me 
My staff/team are available to me in between scheduled visits if I have questions or needs 
My staff/team supports me in getting my needs/goals met 
I have access to crisis supports 24/7

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* 4. My staff/team honors my cultural beliefs and values and 
validates and affirms my experiences in a culturally responsive manner

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* 5. Please check the areas that your staff has supported you in

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* 6. I know who to contact if I have concerns or questions about my service

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* 7. I would recommend my staff/team/SPARC to a friend if they needed services 

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* 8. Please share any comments of satisfaction or areas of improvement 

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