1. Survey

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

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* Please indicate what region the program is located in.

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

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

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* What can we do to improve communication with you?

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

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

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

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

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

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* 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.

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* Would you recommend this program to others?

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

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* 9. Please provide additional comments below.

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