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Client Survey

BPB Floyd House

We would like your opinion of the services you are receiving from the BPB Floyd House. Your response will be kept confidential. Please take a moment to give us your opinion. Thank you for your time.

1. How long were you in the BPB program? *

2. How do you rate the program? *

I am extremely satisfied I am satisfied I am dissatisfied I am extremely dissatisfied

3. Dissatisfied please explain why you answered this way:

4. Which type of room did you have? *

Single Shared

5. What level of respect did you receive? *

The staff is extremely respectfully. The staff is respectfully. The staff is sometimes respectfully & sometimes disrespectfully. The staff is disrespectfully.

6. The staff in this program treat me extremely disrespectfully. Please explain why you answered this way:

7. What are three things you like about this program? *

8. What are three things you would like to have improved for this program?

9. How satisfied are you with the meals provided?

I am extremely satisfied. I am satisfied. I am sometimes satisfied and sometimes dissatisfied. I am dissatisfied

10. I am extremely dissatisfied with the meals I’m receiving in this program. Please provide any suggested changes:

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Donation Total: $1

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