Please answer the following questions so we can evaluate how well we have responded to your needs. Your participation in this survey is voluntary and all of your answers will be anonymous.
For statements 6-15, please choose the most appropriate answer to tell us if you agree or disagree with the statements. For the remaining questions, please write your answers in the space provided.

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* 1. Group Name

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* 2. Community

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* 3. Please tell us what program(s) you participate in: (check all that apply)

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* 4. How many group sessions did you have?

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* 5. I received services in: 

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* 6. The worker(s) helped me develop group session treatment goals that met my needs.

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* 7. I felt heard and respected by the worker(s).

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* 8. The worker(s) identified both strengths and needs in my family.

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* 9. My culture was respected and taken into consideration by the worker(s).

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* 10. The worker(s) was/were able to effectively communicate with me in the official language of my choosing.

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* 11. I am more able to manage difficulties than before group sessions.

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* 12. The group services I received allowed me to meet my goals.

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* 13. I have strengthened skills and abilities because of the group services provided.

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* 14. I and/or my child has less needs and symptoms because of the group services provided.

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* 15. I would recommend NEOFACS to other families.

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* 16. Please describe your reasons for ending service (check all that apply)

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* 17. What did NEOFACS do well?

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* 18. What change(s) can NEOFACS make that would have the biggest positive impact on the service you received?

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* 19. Additional Comments:

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