Please answer the following questions so we can evaluate how well we have responded to your/your family’s needs. Your participation in this survey is voluntary and all of your answers will be anonymous.
For statements 3-15, 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. How long were you involved in the program:

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* 2. ) I/my child received services in:

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* 3. I participated in the program for my child.

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* 4. The case manager helped me/my child to develop goals that met my/my child’s needs.

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* 5. I/my child felt heard and respected by the case manager

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* 6. The case manager helped identify our strengths and needs in order to navigate the services available.

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* 7. Other family members and I were invited to participate in the program and case conferences.

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* 8. My culture was respected and taken into consideration by the case manager.

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* 9. The case manager was able to effectively communicate with me/my child in the official language of my/our choosing.

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* 10. The case manager communicated well with the service providers involved.

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* 11. The program helped me/my child navigate and understand services available to me/my child

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* 12. The services I/my child received allowed to meet my/my child’s goals.

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* 13. I would recommend NEOFACS to other families.

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

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* 15. What did NEOFACS do well?

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

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* 17. Additional Comments:

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