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Header - Survey Questions:
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Header Section - #95B3D7 |
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Year
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Q1 *
| Are you satisfied with your family member’s Community Inclusion service? |
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Q2 *
| Are you treated respectfully by staff in Community Inclusion Services? |
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Q3 *
| Are you treated respectfully by the Manager in Community Inclusion Services? |
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Q4 *
| Are you supportive of Community Inclusion Anytime? |
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Your Name (Optional)
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If you wish to have your name entered in the draw to win a $50 Gift Card to Cottonwood Mall (to be drawn in December) please include your name! |
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Individual Supported by CSCL
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Service
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Follow Up?
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Is an immediate follow-up required by CSCL? |