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* 1. Please indicate the type of stakeholder that you are, and/or how your organization is best described.

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* 2. How long has your organization interacted with LCCMHC?

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* 3. I understand the mission of LCCMHC

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* 4. What services have you been most satisfied with in working with LCCMHC?

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* 5. I would refer someone to MHC for services.

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* 6. I communicate regularly with at least one MHC staff member.

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* 7. The MHC is responsive to my organization’s needs.

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* 8. Please identify one or more ways that your organization works well with the MHC.

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* 9. The MHC is a valuable resource for community members seeking help with mental or emotional problems.

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* 10. Identify one or more things that will improve the relationship between the MHC and your organization.

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* 11. Please list any training needs regarding mental health and/or MHC programs and services that you need.

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* 12. What challenges have you experienced in working with the MHC?

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* 13. Are there mental health services that you or your organization need that you are unable to find in our community or that you would like us to provide in the future.

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* 14. In your experience, are there specific groups of individuals that have difficulty in accessing our treatment services?

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* 15. Please share any other information that you feel would be helpful for us to know. If you are willing to help the mental health center in any way, please state how and list your name and contact information. If you need training, please state the type of training and list your name and contact information.

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