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* 1. Which Talbert House Service Line (s) do you refer to?

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* 2. Which Talbert House Site(s) do you refer to?

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* 3. Please rate the following statements:

  Never Seldom Most of the time Always N/A
My organization finds it relatively easy to refer clients to Talbert House.
Clients generally get enrolled at Talbert House quickly.
Talbert House does a good job of communicating and reporting progress with referral sources.
Talbert House meets expectations in service delivery.
Talbert House provides clients with high quality services.
Talbert House refers clients to additional services as needed.

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* 4. What are the key factors that guide your decision to refer (or not) to Talbert House?

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* 5. What suggestions do you have for Talbert House?

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