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Connexus Community Resources
Connexus Community Resources
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Faces Survey One-to-one services - New Item
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There are items in this form that require your attention
1. Which program have you recently received support from?
Child and Youth Mental Health (CYMH)
Sexual Abuse Intervention Program (SAIP)
PEACE Progam (Children & Youth Experiencing Violence)
Child and Youth Care (CYC)
Children and Youth with Special Needs (CYSN)
Specify your own value:
If unsure, please explain
2. What is your worker's name?
3. Are you satisfied with the services you have received?
🙂 Yes
☹️ No
Specify your own value:
Please explain
4. Were there any barriers to receiving services?
🙂 Yes
☹️ No
Specify your own value:
Please explain
5. Where could we do better?
6. Was the importance of confidentiality and consent discussed?
🙂Yes
☹️No
Specify your own value:
Comments
7. Was confidentiality maintained?
🙂 Yes
☹️ No
Specify your own value:
Please explain
7. Do staff treat you and/or your family professionally with respect and courtesy?
🙂 Yes
☹️ No
Specify your own value:
Comments
9. Do you understand why you were here?
🙂Yes
☹️No
Comments:
10. Would you tell other people about Connexus?
🙂Yes
☹️No
Please explain:
11. Would you come back if you needed to?
🙂Yes
☹️No
Additional information:
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