Introduction : Community Works is requesting that you complete the following survey. If you collaborate with more than one program, please complete a separate section for each program. Please use the comments section to provide additional information. This information will be used as part of the continuous quality improvement proves for the organization and helps us to improve services to the community.

Instructions :
1. Complete Section 1 for the organization.

2. Complete additional sections for specific programs and services that you have feedback about as a stakeholder.

SECTION 1: QUESTIONS ON COMMUNITY WORKS
1. Is Community Works accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
2. Do Community Works programs/services meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
3. Does Community Works collaborate with its community partners in order to better serve the community?	SeldomSometimesMostlyAlways Comments:
4. Do you have any suggestions for improvements in the organization?	Comments:
5. Describe strengths/assets of the organization?	Comments:

DIRECTORY OF PROGRAMS:

Lithia Springs Program: Questions 6-9
Crossroads School: Question 10-13
Transitional Living Program: Questions 14-17
Streetwise: Questions 18-21
Independent Living Program: Questions 22-25
Youth and Family Counseling Services: Questions 26-29
Dunn House Shelter: Questions 30-34
Dunn House Outreach: Questions 35-39
Rape Crisis: Questions 40-43
HelpLine: Questions 44-47
Parent Education/Personal Safety: Questions 48-51
Case Management Programs: Questions 52-55

RESIDENTIAL SERVICES – LITHIA SPRINGS PROGRAM
6. Is the Lithia Springs program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
7. Does the Lithia Springs program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
8. Do you have any suggestions for improvements in the Lithia Springs program?	Comments:
9. Describe strengths/assets of the Lithia Springs program?	Comments:

EDUCATIONAL SERVICES – CROSSROADS SCHOOL
10. Is the Crossroads School accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
11. Does the Crossroads School meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
12. Do you have any suggestions for improvements in the Crossroads School?	Comments:
13. Describe strengths/assets of the Crossroads School?	Comments:

COMMUNITY SERVICES - TRANSITIONAL LIVING PROGRAM
14. Is the Transitional Living program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
15. Does the Transitional Living program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
16. Do you have any suggestions for improvements in the Transitional Living program?	Comments:
17. Describe strengths/assets of the Transitional Living program?	Comments:

COMMUNITY SERVICES - STREETWISE
18. Is the Streetwise program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
19. Does the Streetwise program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
20. Do you have any suggestions for improvements in the Streetwise program?	Comments:
21. Describe strengths/assets of the Streetwise program?	Comments:

COMMUNITY SERVICES - INDEPENDENT LIVING PROGRAM
22. Is the Independent Living program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
23. Does the Independent Living program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
24. Do you have any suggestions for improvements in the Independent Living program?	Comments:
25. Describe strengths/assets of the Independent Living program?	Comments:

TREATMENT SERVICES - YOUTH AND FAMILY COUNSELING SERVICES
26. Is the Youth and Family Counseling Services program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
27. Does the Youth and Family Counseling Services program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
28. Do you have any suggestions for improvements in the Youth and Family Counseling Services program?	Comments:
29. Describe strengths/assets of the Youth and Family Counseling Services program?	Comments:

VICTIM SERVICES - DUNN HOUSE SHELTER
30. Is the Dunn House Shelter accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
31. Does the Dunn House Shelter meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
32. Does the Dunn House Shelter work collaboratively with its community partners to better serve the community?	SeldomSometimesMostlyAlways Comments:
33. Are the management team and advocates at Dunn House Shelter professional, experienced and aware of the needs of the intended population?	SeldomSometimesMostlyAlways Comments:
34. Are there ways in which Dunn House Shelter and staff could better serve you or your clients?	Comments:

VICTIM SERVICES - DUNN HOUSE OUTREACH
35. Is the Dunn House Outreach accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
36. Does the Dunn House Outreach respond to service needs appropriately? If rating Seldom or Sometimes, please be specific.	SeldomSometimesMostlyAlways Comments:
37. Does the Dunn House Outreach work collaboratively with its community partners to better serve the community?	SeldomSometimesMostlyAlways Comments:
38. Are the management team and advocates at Dunn House Outreach professional, experienced and aware of the needs of the intended population?	SeldomSometimesMostlyAlways Comments:
39. Are there ways in which Dunn House Outreach and staff could better serve you or your clients?	Comments:

VICTIM SERVICES - RAPE CRISIS
40. Is the Rape Crisis program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
41. Does the Rape Crisis program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
42. Do you have any suggestions for improvements in the Rape Crisis program?	Comments:
43. Describe strengths/assets of the Rape Crisis program?	Comments:

COMMUNITY SERVICES - HELPLINE
44. Is the HelpLine program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
45. Does the HelpLine program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
46. Do you have any suggestions for improvements in the HelpLine program?	Comments:
47. Describe strengths/assets of the HelpLine program?	Comments:

COMMUNITY SERVICES - PARENT EDUCATION
48. Is the Parent Education program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
49. Does the Parent Education program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
50. Do you have any suggestions for improvements in the Parent Education program?	Comments:
51. Describe strengths/assets of the Parent Education program?	Comments:

COMMUNITY SERVICES - CASE MANAGEMENT
52. Is the Case Management program accessible to the populations that can benefit from its services?	SeldomSometimesMostlyAlways Comments:
53. Does the Case Management program meet the needs of the intended populations?	SeldomSometimesMostlyAlways Comments:
54. Do you have any suggestions for improvements in the Case Management program?	Comments:
55. Describe strengths/assets of the Case Management program?	Comments:

THANK YOU FOR PARTICIPATING IN THIS SURVEY. PLEASE HIT THE SUBMIT BUTTON!