Thank you for taking the time to complete this survey about our services at Community Catalysts of California. Your honest answers will help us learn how well we are working with you! 
This survey is anonymous, that means you do not need to tell us who you are.  If you do not know how to complete this survey, or need help understanding any of the questions, you may ask a person that you trust (family or friend) to help you. 

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* 1. Please tell us what Community Catalysts of California program you are in (you may check more than one):

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* 2. How satisfied are you with Community Catalysts?

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* 3. Did staff meet with you on time?

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* 4. Did staff respect your right to make decisions?

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* 5. Did staff help you connect to resources that meet your needs?

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* 6. In general, would you say your quality of life is:

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* 7. In general, how would you rate your physical health?

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* 8. In general, how would you rate your mental health, including your mood and ability to think?

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* 9. In general, how would you rate your satisfaction with your social relationships (family, friends, co-workers) and social activities?

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* 10. In general, how well do you carry out your different life roles (as a parent, as a son or daughter, as a spouse, as an employee, as a friend, etc.):

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* 11. Comments:

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* 12. You do not have to give us your name or contact information, if you do not want to.  But, if you would like us to follow up with you about any of your comments, you can tell us your name and phone number. 

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