1. Survey

* Please place a checkmark (√) in the box beside the program(s) you are rating with this survey.

* Please indicate what region the program is located in.

* 1. What is your relationship to Strive Living Society?

* 2. Do you feel the communication between the program and yourself is:

* What can we do to improve communication with you?

* 3. Do you feel the staff are approachable and professional?

* 4. Do you feel that services provided by this program have led to positive changes for individuals served?

* 5. What aspects of the program do you like?

* 6. What aspects of the program do you think needs improvement?

* 7. What changes would you like to see in the program?

* Do you believe that Strive's Mission Statement is reflective of our services?

To partner with individuals of diverse abilities to lead healthy, fulfilling lives by providing a foundation of support.

* Would you recommend this program to others?

* 8. Overall, I would rate my satisfaction with the quality of the Program as?

* 9. Please provide additional comments below.