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* 1. When your county enters the green status, are you prepared to open your facility:

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* 2. Prior to opening what actions is your AE requiring? Please check all that apply:

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* 3. When you open your facility and allow individuals to attend, what percentage of your pre-COVID attendees do you expect to attend the first week?

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* 4. When you open your facility and allow individuals to attend, what percentage of your pre-COVID attendees do you expect to attend the second week?

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* 5. When you open your facility and allow individuals to attend, what percentage of your pre-COVID attendees do you expect to attend the third week?

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* 6. When you open your facility and allow individuals to attend, what percentage of your pre-COVID attendees do you expect to attend the fourth week?

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* 7. What percentage of pre-COVID attendees do you anticipate will return to your facility when the COVID crisis has passed?

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* 8. What challenges do you believe will impact your ability to serve individuals in your facility? Please check all that apply:

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* 9. When your county enters the green status, what percentage of pre-COVID Community based CPS services do you expect to provide in the Community the first week?

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* 10. When your county enters the green status, what percentage of pre-COVID Community based CPS services do you expect to provide in the Community the second week?

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* 11. When your county enters the green status, what percentage of pre-COVID Community based CPS services do you expect to provide in the Community the third week?

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* 12. When your county enters the green status, what percentage of pre-COVID Community based CPS services do you expect to provide in the Community by the end of the first month?

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* 13. What challenges do you believe will impact your ability to serve individuals in the community? Please check all that apply:

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* 14. Have you been providing remote services during COVID?

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* 15. If you have provided remote services, or plan to begin to offer remote services, what impact do you expect it will have on your budget?

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* 16. Based upon individual transition meetings, are you experiencing an increase/decrease in billable units?

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* 17. If you have experienced a change as indicated in number 16, what percentage difference?

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* 18. If you are willing to provide additional details, please complete the next questions.  Otherwise, please submit your survey now.

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* 19. Please provide the number of units of service provided for the first two quarters of FY 19-20 by W Code:

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* 20. Please provide the number of units provided during the final quarter of FY 19-20 by W Code:

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* 21. Please provide the number of units anticipated for the first two quarters of FY 20-21 by W Code:

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