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OOOFC NEEDS ASSESSMENT

Please complete the below form so that we may better serve you and your community. All submissions are confidential. With your feedback we will be able to add services/programs, update current programming and focus on the needs of our members as well as the community.
Hearts and Hands
Which type of peer support group interests you the most?
Which do you struggle with the most?
Do you have Health Insurance?
Do you see a Therapist or Counselor on a regular basis?
What group do you enjoy attending at On Our Own?
Do you recieve any of the following assistance? (Select all that apply)
Are you employed?
What is your current housing situation?
I feel safe with staff, volunteers and fellow peers at the center:
I feel my recovery is supported and important to staff, volunteers and fellow peers at the center:
I feel the rules and expectations are reasonable:
I feel the support groups that are offered are interesting and informative and help me in my recovery:
I feel my voice is heard and valued:
I feel my needs are addressed when I ask for assistance and support:
I would recommend On Our Own of Frederick to friends and community members:

STAFF FEEDBACK 
(2-3 MINUTES)

We Need You Help

USE THE SPACE BELOW TO PROVIDE FEEDBACK ON YOUR OVERALL INTERACTIONS WITH THAT PERSON. YOUR ANSWERS WILL REMAIN CONFIDENTIAL, WE JUST WANT TO ENSURE THAT YOU ARE GETTING THE SUPPORT YOU NEED.

 

HAVE YOU BEEN TO THE CENTER AND INTERACTED WITH OOOFC STAFF? IF NOT SCROLL TO THE BOTTOM AND CLICK SUBMIT.

Neil Donnelly, Executive Director

Have you interacted with Neil? (if not, click NO and move on to the next question)
Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):

Jacquelyn Helms, Program Manager

Have you ever interacted with Jordan? (If not, click NO and move on to the next question)
Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):

Lorenzo Jones, Training Manager

Have you interacted with Lorenzo? (If not, click NO and move on to the next question)
Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):

Jill Krisnitsky, Training Director

Have you interacted with Jill? (If not, click NO and move on to the next question)
Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):

Kim Merson, Bookkeeper / Reiki

Have you interacted with Kim? (If not, click NO and move on to the next question)
Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):Please rate your experiences - 1 star being the lowest (or poor) and 5 stars being the highest (or excellent):
Thanks for submitting!
Thank You
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