Please rate the services that you received.

How would you rate...?

* 1. The convenience of the location where you received service

* 2. How long you were on the waiting list for service.

* 3. The time of day when services were scheduled.

* 4. The courtesy and respectfulness of staff.

* 5. Information you were given to help you understand your child.

* 6. Ways you learned to help your child.

* 7. Opportunities to help make decisions about services.

* 8. The helpfulness of the service you received.

* 9. Overall, how would you rate the quality of the service you received.

* 10. Please provide us with any further comments.