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Connexus Community Resources
Connexus Community Resources
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Family Services Survey - 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?
Family Connections
Family Preservation
Family Support
Specify your own value:
If unsure, please explain
2. Are you satisfied with the services you have received?
Yes
No
Specify your own value:
Comments
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?
None
Yes
No
Specify your own value:
Comments
8. Was your voice heard in how services were delivered?
None
Yes
No
Please explain:
9. Did Connexus staff communicate with you clearly and professionally?
None
Yes
No
Comments:
10. Would you feel comfortable reaching out to Connexus for help in the future, if needed?
None
Yes
No
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