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Needs Assessment

We appreciate your time in completing this questionnaire about your experience with services for individuals ages 0-21 who face emotional, behavioral, and developmental challenges. Your feedback is essential in helping us identify needs and enhance the support available in our community.

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* 1. What services is your loved one currently receiving for mental health and/or developmental disabilities?
(Check all that apply)

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* 2. What services or supports have you attempted to access, but either found were not available or were difficult to obtain?

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* 3. What additional services or resources do you feel would best support your loved one?

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* 4. Please share some of the challenges you've faced as a caregiver for individuals ages 0-21 with both mental health and developmental challenges. (Examples: difficulty finding a qualified provider in a timely manner, difficulty affording costs related to care, lack of transportation, trouble finding childcare, insufficient or lack of insurance coverage, lack of support from schools, lack of access to services and information in your preferred language, and/or finding support for yourself as a caregiver.) Feel free to be as brief or as detailed as you choose. Your information will be kept confidential.