Q3 2017 Feedback Survey - Ind. Receiving Service
 
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Please complete if you are either receiving services for mental health, substance use, and/or gambling-related problems OR if you are a client who is a family member/significant other/supporter of a person with mental health, substance use, and/or gambling-related problems.

 
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  Please indicate the extent to which you agree or disagree with each of the following statements about your treatment/support experience.
   
  Access/Entry to Services
   
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  Services Provided
   
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  Participation/Rights
   
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  Therapists/Support Workers/Staff
   
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  Environment
   
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  Discharge/Leaving the Program
   
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  Service Quality
   
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  Please complete the following questions; these questions ask for some details about you in order to help organize the information by sub-group for quality improvement purposes. You may answer only the questions that you feel comfortable answering, and you may stop at any time.
   
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35.
Select at least 1 response and no more than 1 response.
 
  
  
  
  
  
  
  

    
   
36.
Select at least 1 response.
 
  
  
  
  
  

    
   
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Select at least 1 response.
 
  
  
  
  

    
   
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Select at least 1 response.
 
  
  
  

    
   
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Select at least 1 response.
 
  
  
  

    
   
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Select at least 1 response.
 
  
  
  

    
   
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Select at least 1 response.
 
  
  
  

    
   
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Select at least 1 response and no more than 1 response.
 
  
  
  
  
  
  
  
  

    
   
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Select at least 1 response and no more than 1 response.
 
  
  
  
  
  
  

    
   
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Select at least 1 response and no more than 1 response.
 
  
  
  
  
  
  
  
  
  

    
   
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Select at least 1 response and no more than 1 response.
 
  
  
  
  

    
   
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