* 1. I am satisfied with the services provided by the Children's Programs.

* 2. My needs are addressed promptly.

* 3. The funding provided by the Family Selected Supports (FSS) Program helps meet my child's/family needs.

* 4. I understand what services are available for my child through the PCBDD.

* 5. What are your expectations from the PCBDD's Children's Program?

* 6. Please provide at least one suggestion/resource what will help your child/family.

* 7. Additional comments:

* 8. Name (optional):