Rate the services received from this provider

Please help our agency make services better by answering some questions about the services your child received OVER THE LAST 6 MONTHS. Your answers are confidential and will not influence the services you or your child receive. Please indicate if you Strongly Disagree, Disagree, Are Undecided, Agree, or Strongly Agree with each of the statements below. Select the statement that best describes your answer. Thank you!!!
YOUR FEEDBACK IS VERY IMPORTANT. PLEASE TRY TO ANSWER EVERY QUESTION UP TO THE END OF THE SURVEY.

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* 1. Overall, I am satisfied with the services my child received.

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* 2. I helped to choose my child's services.

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* 3. I helped to choose my child's treatment goals.

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* 4. The people helping my child stuck with us no matter what.

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* 5. I felt my child had someone to talk to when he/she was troubled.

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* 6. I participated in my child's treatment.

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* 7. The services my child and/or family received were right for us.

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* 8. The location of services was convenient for us.

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* 9. Services were available at times that were convenient for us.

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* 10. My family got the help we wanted for my child.

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* 11. My family got as much help as we needed for my child.

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* 12. Staff treated me with respect.

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* 13. Staff respected my family's religious/spiritual beliefs.

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* 14. Staff spoke with me in a way that I understood.

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* 15. Staff were sensitive to my cultural/ethnic background.

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