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* 1. Which of the following groups do you represent?

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* 2. Do you feel the Perry County Board of Developmental Disabilities helps promote the abilities of people with disabilities?

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* 3. Do you feel the Perry County Board of Developmental Disabilities staff listen to you?

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* 4. Do you feel the Perry County Board of Developmental Disabilities staff value your opinion?

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* 5. Do you feel the Perry County Board of Developmental Disabilities help people achieve what is important?

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* 6. How would you rate the quality of Perry County Board of Developmental Disabilities services?  (5 being the highest rating; 1 being the lowest rating)

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* 7. Overall, are you satisfied with Perry County Board of Developmental Disabilities?

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* 8. Are there other services you would like the county board to provide?

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* 9. What are some areas in which Perry County Board of Developmental Disabilities can improve?

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* 10. Optional contact information:

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