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SUGGESTIONS FOR IMPROVEMENT

1. How would you rate the management team?

ExcellentGoodFairPoorNeeds Immediate Attention

2. Did you get the answers to questions pertaining to client services that you needed?

Yes, definitelyYes, generallyNo, not reallyNo, definitely not

3. To what extent has our agency helped you?

Almost all of my needs were metMost of my needs have been metOnly a few of my needs were metNone of my needs were met

4. Did the program Director seem concerned with your challenges and willing to help?

YesNo

5. Has concerns about client welfare been addressed and acted upon?

YesNo

6. Did the treatment modalities meet your needs?

YesNo

7. Do you have any suggestions for improvements?


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