Thank you for your feedback

The information you provide in this survey is completely confidential (meaning will not be shared publicly or be able to identify whom you are through your responses). There will be NO negative impact to you or the services you or your family receives due to your answers. Your honest feedback will help us improve your experience and future participants experience at Encompass Support Services. If you are completing this survey as a family member of a person that participates in our programs, please base your response on your own views and opinions. Thank you in advance for your feedback.

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* 1. I am:

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* 2. My current age is:

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* 3. Information about agency services was easy to find:

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* 4. When I was referred to, or requested services, I was contacted by Encompass Support Services:

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* 5. Over the last year, myself or my family member has participated in services from the following programs (Check all that apply): 

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* 6. There was information available or provided on the service(s) I participated in:

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* 7. Staff helped me understand my rights and responsibilities as a participant or family member:

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* 8. To the best of my knowledge, information about me or my family member has been kept confidential:

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* 9. I have been informed how to make a formal complaint if I feel I needed to:

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* 10. Were there any barriers you experienced in attending program(s)(check all that apply):

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* 11. I feel the staff at Encompass create an inclusive environment that engages with and respects my personal, cultural and spiritual beliefs.

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* 12. Staff supported me and used my input when identifying and achieving my /my family's goals:

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* 13. Staff introduced and/or provided me with information about other resources to support my needs.

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* 14. When in program I feel welcomed and valued:

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* 15. I feel safe and respected while attending Encompass’ services:

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* 16. I was empowered to advocate for myself or my family's needs:

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* 17. The services that I participate(d) in made/make a positive difference in my life:

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* 18. The facilities for programs are well maintained:

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* 19. I would recommend services offered by Encompass Support Services to someone close to me:

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* 20. What services could/should our organization provide to better support you or your family?

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