Stakeholders

Please answer the following questions about your experience at Northern Youth Services Inc.

Thank you for your participation. We value your feedback.

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* 1. Northern Youth Services Inc. program involvement:

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* 2. Were you treated with respect by our staff?

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* 3. Were you able to easily contact and communicate with staff?

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* 4. Were services provided to you in an accessible manner?

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* 5. Are you given updates by staff on a regular basis?

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* 6. Do you have input into the case management?

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* 7. Are the plans (goals) followed as established?

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* 8. Did you receive services in your preferred language?

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* 9. Are the staff knowledgeable and actively engaged throughout the process?

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* 10. Name & Agency:

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* 11. We are interested in following up with a random sample of survey respondents. Would you be willing to have Northern Youth Services representative contact you for further information?

If yes, please provide your telephone number

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