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Child: Child age Caregiver: Date: PSC17 Caregiver Completed (417 years) INSTRUCTIONS: This form asks question about your children behaviors. These behaviors may be true for every child at sometime
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How to Fill Out PSC17 Parent - GOBHI:

01
Start by obtaining the PSC17 form, which is the Parent Satisfaction Scale developed by the Greater Oregon Behavioral Health, Inc. (GOBHI).
02
Begin filling out the form by providing your personal information such as your name, contact details, and any other required identification information.
03
The next section of the form may ask you to indicate the program or service that you or your child is receiving. Make sure to accurately select the appropriate option.
04
Proceed to answer the various questions or statements on the form. These questions are designed to assess your satisfaction with the program or service provided by GOBHI.
05
Carefully read each statement or question and provide your response by marking the corresponding checkbox or providing any required additional information.
06
Take your time to reflect on your experiences with GOBHI and answer the questions honestly and to the best of your knowledge.
07
Once you have completed filling out all the questions and statements, review your responses to ensure they are accurate and complete.
08
If there are any sections or questions that are not applicable to your situation, you may leave them blank or provide an explanation if required.
09
Finally, sign and date the form to attest to the accuracy of the information provided.

Who Needs PSC17 Parent - GOBHI:

01
Parents or guardians of children or individuals who are receiving services or participating in programs offered by GOBHI may need to complete the PSC17 Parent Satisfaction Scale.
02
Individuals who have firsthand experience with GOBHI's services or programs and can provide valuable feedback on their satisfaction may also be required to fill out the PSC17 form.
03
The purpose of the PSC17 is to collect data and feedback from parents or individuals to assess the quality and effectiveness of the services provided by GOBHI, thereby enabling them to make improvements where needed.
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