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NON-RESIDENTIAL ATTENDANCE CENTRE (NRAC)
1.
Date of questionnaire:
2.
How long were you part of the program:
3.
Age
4.
Gender:
Male
Female
Other
5.
Language preferred:
French
English
Other
6.
Please indicate which program(s) you participated in. Check all that apply.
Anger Awareness and Interpersonal Problem Solving
Conflict Resolution from Inside Out
Healthy Self Esteem in Adolescents
Gender Identity
Money Management / Job Searches
Peer Pressure
Violence Prevention
Young Women’s Lives
Social Skills
Anxiety Workbook for Teens
Coping with Stress
Feeling Good About Yourself
Healthy Lifestyles
Making the Most of Me
Self-Discipline
Victim Awareness
Young Men’s Work
Northern Ontario Substance Abuse Prevention
Northern Ontario Anger Management
Cultural Teachings
Literacy
Substance Abuse Prevention
Employment
Other (please specify)
7.
Were you offered anything to eat or drink, or the option of using shower or laundry facilities while at NRAC?
Yes
No
Not applicable
8.
I was made aware of all the programs available to me.
Strongly agree
Agree
Disagree
Strongly disagree
9.
I received enough information about the programs and services available to me.
Strongly agree
Agree
Disagree
Strongly disagree
10.
I am better able to manage difficulties than before services.
Strongly agree
Agree
Disagree
Strongly disagree
11.
The service I received allowed me to meet my goals.
Strongly agree
Agree
Disagree
Strongly disagree
12.
The worker(s) was/were able to effectively communicate with me in the official language of my choice.
Strongly agree
Agree
Disagree
Strongly disagree
13.
My culture was respected and taken into consideration by the worker(s).
Strongly agree
Agree
Disagree
Strongly disagree
14.
I found the worker(s) knowledgeable and competent
Strongly agree
Agree
Disagree
Strongly disagree
15.
If I had a concern, I would know how to make a complaint to this organization
Strongly agree
Agree
Disagree
Strongly disagree
16.
I was assured that my personal information was kept safe and secure.
Strongly agree
Agree
Disagree
Strongly disagree
17.
Overall, I found the environment welcoming, non-discriminating and comfortable
Strongly agree
Agree
Disagree
Strongly disagree
18.
Please comment on aspects of your experience with this program that were particularly helpful to you.
19.
Please comment on aspects of your experience with this program that you feel could be improved or changed.
20.
Additional Comments: