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* 1. At Manna, I participated in (select all categories that apply):

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* 2. My Gender:

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* 3. My Race

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* 4. I am/was treated with dignity and respect at Manna

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* 5. I am/was satisfied with the physical facilities at Manna

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* 6. I am/was satisfied with any fees associated with receiving treatment at Manna

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* 7. I am/was satisfied with the ease of access to services at Manna (i.e., time spent on the waitlist, assessment process, etc.)

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* 8. I am/was satisfied with the results I/the client achieved at Manna

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* 9. I/my loved one got better as a result of being treated at Manna (i.e., my behavior changed for the better, my acting out behaviors (eating, self-harm, drinking, etc.) improved

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* 10. I/my loved one have/has been given hope through Manna

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* 11. Is there anything that needs to change for you to consider the treatment programs at Manna more effective?

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* 12. What could improve access to services at Manna? (Please check all that apply)

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* 13. What changes or improvements would you want to see implemented at Manna? (examples: social media presence, office hours, contact methods, program or group content, etc.)

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* 14. What other feedback do you have regarding your experience at Manna?

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* 15. What 3 words would you use to describe Manna?

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