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Participant Survey
Please help us to evaluate our programs by filling out the survey below. Your responses are anonymous and confidential. Thank you.
Please rate how much you agree or disagree with the following statements about the Program by selecting a number:
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Select the Center you've worked with:
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Arcata Family Resource Center
Blue Lake Community Resource Center
Bridgeville Community Resource Center
Carlotta Family Resource Center
Fortuna Family Resource Center
Hupa Family Resource Center
Eureka: Jefferson Community Center
Loleta Community Resource Center
Manila Community Resource Center
Eureka: Marshall Family Resource Center
Mattole Valley Resource Center
McKinleyville Family Resource Center
Rio Dell Community Resource Center
South Bay USD Family Resource Center
Southern Humboldt Family Resource Center
Willow Creek Community Resource Center
1. Services and activities are offered at a convenient location.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
2. Services and activities are offered at convenient times.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
3. Staff members are welcoming and respectful.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
4. Staff members have asked me about my family’s strengths, needs, and interests.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
5. Staff members help me to understand healthy family development.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
6. Staff members have invited other people in my family to participate in services and activities.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
7. I have opportunities to meet and get to know other families through the Program.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
8. Staff members speak my language.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
9. Staff members understand my identity and culture (traditions, values, religion, sexual orientation, special needs, etc.)
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
10. I have opportunities to learn about families that are different from mine.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
11. Staff members have helped me to learn about services, resources, and opportunities that are available in the community.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
12. I have opportunities to share my opinion and ideas about the program.
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Strongly Agree
Agree
Disagree
Strongly Disagree
13. Overall, this program has provided valuable support for me and my family.
Choose
Strongly Agree
Agree
Disagree
Strongly Disagree
14. Other comments about the Program:
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