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We want to hear from you!  One of the best ways for your local County System of Care to identify system gaps for children and families is through direct feedback. Please share your experiences, where you identified a support that was missing (need), there was a support available but something that got in the way of you receiving that support (barrier), or a support you needed that wasn't available to you (concern). 

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* 1. What county do you receive services in, where you identified a need, barrier, or concern?

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* 2. What services are you sharing a need, barrier, or concern about?

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* 3. I participate in services as a:

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* 4. Area of need, barrier, or concern (what got in the way):

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* 5. Please describe your need, barrier, or concern (what would be helpful to you and your family):

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* 6. Please describe anything that is currently working well (when was a time that something helped you or your family):

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* 7. Goal/Outcome: What it would look like for you if we resolved your need, barrier, concern or opportunity for growth?

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* 8. Solution Plan Description: Please describe ideas or suggestions you have to solve the need, barrier, concern or support your innovation recommendation.

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* 9. How can we best contact you to follow up with your need, barrier or concern?

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