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Axis Family Resources Ltd. > Surveys  > New Survey

New Survey: CLS and SSH Services - Experience of Services Survey for Persons Served

 
Person Served Name
Program you have received services from *
Axis Office Location *
1.
  :( No, did not experience this  :) Yes, felt I was treated this way by my staff
  12345
Have you been treated with dignity and respect while receiving services from Axis? 
1. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
2.
  :( Not at all  :) Yes, really well
  12345
Have the program staff supported you to focus on the goals you have for yourself? 
2. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
3.
  :( Not at all   :) Yes, really well
  12345
Were services provided in a way that worked well for you? 
3. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
4.
  :( Not at all   :) Yes very much so
  12345
Did you get information from your program staff about other services you could access following our service? 
4. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
5.
  :( Lots was missing   :) Nothing major was missing 
  12345N/A
Was there anything missing for you in the services and resources we provided? 
5. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
6.
  :( Did not feel this way at all   :) Yes felt very included on a team
  12345
Have you felt included as part of a team working together to help you achieve your goals? 
6. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
7.
  :( Not at all   :) Yes felt they were included
  12345
Did you feel that other members of your family or important people in your life had a chance to be included in your support from Axis? 
7. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
8.
  :( No  :) Yes
  12345
Do you feel that you have had an opportunity to participate in more community outings during your time receiving services from Axis? 
8. If you did not rate either a 4 or 5 to this question, what could we have done differently to increase your rating?
Comments
Date Completed *