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MULTI-COUNTY COUNSELING, INC.
COMMUNITY NEEDS ASSESSMENT

Annually, Multi-County Counseling, Inc., conducts a Community Needs Assessment regarding Mental Health and Substance Abuse Treatment in communities served by Multi-County Counseling, Inc.  This information is used in Program Evaluation and Development.

Your input/feedback is very important to us so please complete the following survey. Thank you.

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* 1. Are you familiar with the services offered by Multi-County Counseling, Inc.?

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* 2. If you are not familiar with Multi-County Counseling, Inc., would you like to be contacted by our Regional Director in your area for more information on the services we provide and how to make a referral?

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* 3. If you are familiar with Multi-County Counseling, Inc., how would you describe the relationship between our organizations?

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* 4. In your opinion, what additional services could Multi-County Counseling, Inc., offer to better meet the needs in the community?

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* 5. In your opinion, what areas could Multi-County Counseling, Inc., improve to better meet the needs in the community?

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* 6. In your opinion, how could MCCI better meet your needs?

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* 7. Would your organization be interested in partnering with Multi-County Counseling, Inc., in a joint project?

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* 8. If your organization would not be interested in partnering with Multi-County Counseling, Inc., in a joint project, please explain why not.

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* 9. If your organization would be interested in partnering with Multi-County Counseling, Inc., in a joint project, please explain what kind of joint project would you be interested in pursuing with Multi-County Counseling, Inc.

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* 10. If you are willing to identify yourself and your agency please enter your name, agency name, address, and telephone number below.  If you are unwilling to identify yourself please share your reason below as well. Thank you.

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