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DocuSign Envelope ID: E7784BE7- 82AF- 4AF1- AA11- 944D2300E713D <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />k) What percentage of your target population is low- moderate income? <br />The low- moderate income rates are: 87% for Outreach Program, and 94% for the <br />early childhood program. <br />1) What efforts do you make to seek feedback about your program from your target population <br />(e.g. survey, evaluations, etc. ?) <br />KidSCope seeks feedback in the following ways: <br />• Therapy services include assessment start of services and at appropriate intervals of <br />the child /family to determine outcomes. <br />• Families are surveyed at the completion of services to determine program <br />satisfaction, and to inform changes and updates of services. <br />m) Include any other pertinent information. None noted. <br />PROGRAM INFORMATION 1/22/2018 3:23:54 PM Page 20 of 27 <br />