Group Survey - New Item

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Connexus Community Resources

Connexus Community Resources

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Group Survey - New Item

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1. Which group have you recently attended?

2. Are you satisfied with the services you have received?

Yes

No

Please explain

3. Were there any barriers to receiving services?

Yes

No

Specify your own value:

Comments

4. Where could we do better?

5. Was the importance of confidentiality and consent discussed?

Yes

No

Specify your own value:

Comments

6. Was confidentiality maintained?

Yes

No

Specify your own value:

Comments

7. Do staff treat you and/or your family professionally with respect and courtesy?

Yes

No

Specify your own value:

Comments

8. Did you feel comfortable with the person/people running the group?

If no, please explain:

9. Would you be comfortable coming to Connexus for services in the future?

Comments:

10. Was the group helpful?

Please explain:

11. Would you recommend this group to other people?

12. Do you have ideas for topics for groups in the future?

Additional informaton:

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⚠ There are items in this form that require your attention

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