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* 1. Which YCAP service(s) did you receive? (Check all that apply)

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* 2. Did you encounter any barriers to receiving the service from YCAP? If yes, please indicate which barrier you experienced.

IN THE QUESTIONS BELOW, PLEASE INDICATE YOUR LEVEL OF SATISFACTION WITH THE SERVICES YOU RECEIVED.

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* 3. The service(s) that I received met my needs.

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* 4. The facility where I received the service(s) was safe, clean, and comfortable.

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* 5. The service providers were informed, helpful, and caring.

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* 6. How can YCAP improve the service(s) you received or better meet your needs?

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