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EXHIBIT C <br />CLIENT SATISFACTION SURVEY <br />The following Survey is completed at the time client exits the program. <br />Staff will ask the resident to complete this voluntary Survey. <br />Client Exit/Satisfaction Survey <br />We are asking you to complete this brief survey to help us evaluate our program. <br />Please feel comfortable to answer freely. Responses will be kept anonymous. <br />Thank you for your time. <br />Date: <br />Length of stay: <br />Name: <br />Children's Names: <br />I am going to (Please Check): <br />Permanent housing/own <br />apartment <br />Shared housing <br />Residential program <br />Drug/alcohol program <br />Transitional housing program <br />Friends/Relatives <br />Specialized Shelter <br />Hotel/Motel <br />Streets <br />Unknown <br />Other: <br />