Dawn Center

1. Dawn Center Outpatient Services

33% of survey complete.

The Dawn Center considers it an honor to provide services to the citizens in our area. As such, we are continuously striving to improve our services and value your feedback. Please take 10 minutes to complete this confidential survey to help us improve.

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* 1. Please enter today's date

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* 2. Please provide your name

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* 3. During the past 30 days, where have you been living the majority of the time?

Shelter

On the Street

Jail/DJJ facility

Hospital

Group Home

Residential Treatment Facility

Living with Parents

Living On My Own

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* 4. In the past 30 days, have you been employed

Full-time

Part-Time

Unemployed but looking for work

Student, therefore not employed

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* 5. What is the last grade you have completed?

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* 6. Do you have your GED?

Yes

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* 7. Are you enrolled in school or a job training program?

Yes

If yes, in the past 6 weeks how many days have you been suspended or expelled?

Suspensions/Expelled Days

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* 8. In the past 30 days, have you been arrested or charged with any type of crime?

Yes

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* 1. Please enter today's date

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* 2. Please provide your name

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* 3. During the past 30 days, where have you been living the majority of the time?

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* 4. In the past 30 days, have you been employed

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* 5. What is the last grade you have completed?

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* 6. Do you have your GED?

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* 7. Are you enrolled in school or a job training program?

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* 8. In the past 30 days, have you been arrested or charged with any type of crime?

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* 9. In the past 30 days, how many nights have you spent in jail or a DJJ facility?