* 1. I am satisfied with the services provided by the Creative Opportunities Program.

* 2. My needs are addressed promptly.

* 3. I am likely to recommend the Creative Opportunities Program to other individuals.

* 4. I am satisfied with the choice of activities offered by the Creative Opportunities Program.

* 5. What activities do you enjoy?

* 6. I would like to see changes in the PCBDD Creative Opportunities Program.

* 7. If you agree there should be changes, what would you like to see change?

* 8. Additional comments:

* 9. Name (optional):

T