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DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Performance Measures Results from the Compeer Inc. Annual Survey to gain <br /> information about program services, satisfaction, <br /> improved well-being and populations served. <br /> Previous Year Program Results Actual results tabulated by Compeer Inc. demonstrated <br /> positive outcomes on scales associated with increased <br /> social functioning, self-esteem, and reduced isolation at <br /> rates equal to or greater than those in 2015. <br /> Current Year Estimated Results Actual results tabulated by Compeer Inc. demonstrated <br /> positive outcomes on scales associated with increased <br /> social functioning, self-esteem, and reduced isolation at <br /> rates equal to or greater than those in 2016. <br /> Next Year Projected Results Actual results tabulated by Compeer Inc. demonstrated <br /> positive outcomes on scales associated with increased <br /> social functioning, self-esteem, and reduced isolation at <br /> rates equal to or greater than those in 2017. <br /> DO NOT SUBMIT THIS PAGE 1/31/2017 11:11:58 AM Page 36 of 3 <br />