Southside Community Step Up Step Down feedback survey

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* 1. How would you rate your experience with us?

Unsatisfactory

Poor

Fair

Good

Excellent

Unsatisfactory

Poor

Fair

Good

Excellent

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* 2. If you are needing such a program again, would you consider the SCSUSD program?

Definitely would

Probably would

Unsure

Probably would not

Definitely would not

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* 3. Please explain your choice?

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* 4. Would you recommend SCSUSD to others with similar needs?

Yes

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* 5. How old are you?

Under 18

18-25

26-35

36-45

46-60

61+

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* 6. Please select your gender

Male

Female

Other (please specify the gender you identify with)

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* 7. What did you most like about SCSUSD? What worked for you?

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* 8. If you could change something about your experience of SCSUSD, what would it be?

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* 9. What would you like more of?

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* 10. What have you and your Outreach Recovery Worker been working on together while in the SCSUSD program?

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* 11. What has improved in your life since you came into SCSUSD?

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* 12. If your time in the SCSUSD program is coming to an end: on a scale of 1-10, 10 being the most useful, how useful was the summary in the completion letter of your achievements in the program?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 13. During the outreach phase of the program did we deliver what we said we would?

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* 14. Anything else you would like to tell us about your experience of the program and its outcomes for you?

If you have any questions or concerns, please contact SCSUSD on 6282 2644 or email Paul.Russell@wcs.org.au