Tell us about your experience with Kerry's Place Community Services. Your feedback will make a difference and help us improve the services we provide. Thank you!
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Question 1

Overall, I am satisfied with the services Kerry's Place has provided to me and/my family. 
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Question 2

I feel the service that I/my family member received from Kerry's Place suited the needs and matched the goals/objectives of the service. 
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Question 3

Kerry's Place services are accessible. Accessibility options were well communicated and available to meet my/my family member's needs.
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Question 4

The website and registration process was easy to follow and I was able to access the services I was looking for. 
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Question 5

I or my family member had the opportunity, to the fullest extent possible, to provide input for personalized services that met our needs, values, and cultural beliefs. 
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Question 6

At Kerry's Place, I feel I am/my family member is treated with respect and information is kept confidential.
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Question 7

Any concerns I or my family raised with Kerry's Place were considered in a timely manner, without any negative impact to the services we received. 
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Question 8

My relationship to the person receiving services from Kerry's Place Autism Services is.
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Question 9

The region where I/my family member lives is: 
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Question 10

How did you hear about Kerry's Place Autism Services? (Please check all that apply) 
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Question 11

Please indicate the type of service you received from Kerry's Place in the last year: (Please check all that apply) 
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Question 12

Overall, what do you consider the most important service(s) for you and/or your family. (Please check all that apply) 
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Question 13

What time of day typically works best for you to receive service from Kerry's Place? (Please select all that apply) 
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Question 14

Why did you or your family member choose to receive services from Kerry's Place Autism Services? (Please check all that apply)
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Question 15

How did you access services from Kerry's Place within the last year? (Please check all that apply) 
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Question 16

I am interested in making a difference and would like more information on the variety of Advisory Committees at Kerry's Place that I could be a part of: 
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Question 17

Please provide any additional comments about the services provided by Kerry's Place Autism Services that you wish to share: 
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