In order to provide the best possible services, RHA Health Services would like to know your opinion regarding our services. There is a space at the end of the survey to comment on any of your answers. Thank you for taking the time to complete this survey.

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1. Do staff make you feel safe in your home and community?

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2. Do you like the doctors that you see to be healthy?

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3. Do staff treat you nicely and with respect?

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4. Do you like where you live and who your housemates are?

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5. Do staff show that they care about you?

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6. Do you go places and do activities you enjoy?

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7. Do you get to visit with family and friends as often as you like?

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8. Do you make choices each day?

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9. Are you asked your opinion about decisions made, such as where to go in the community, what to eat, what activity to participate in, etc.?

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10. Do you feel that the services RHA provides has improved the quality of your life?

This survey may also be completed online by visiting the following website: https://www.surveymonkey.com/r/personsupportedsatisfaction

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11. Which RHA program are you affiliated with?

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12. What state do you live in?

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