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* 1. School:

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* 2. Age:

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* 3. I believe the services I have received have helped me to...

  Yes(1) I don't know (2) No (3)
Improve my attendance
Do better in school
Cope better when things go wrong

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* 4. The skills I learn allow me to...

  Yes (1) I don't know (2) No (3)
Be more successful in class
Improve my communication
Better control my behaviors in school
Get along better with others in school

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* 5. Is there anything that could be added or changed that would help you to be more successful in meeting your goals?

T