Q3 2017 Feedback Survey - Fam, Sign. Other, Etc.
 
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Please complete if you are a family member/significant other/supporter of a person with mental health, substance use, and/or gambling related problems but you are NOT a registered client. Please note: If you are a family member/significant other/supporter, please respond to these questions based on the services you have received rather than on the services your family member or friend has received.

 
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  Please indicate the extent to which you agree or disagree with each of the following statements.
   
  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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  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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Select at least 1 response and no more than 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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