Post Survey Questionnaire

Dear Licensed Provider: Clinical standards of care are essential for access and quality of care of persons served by licensed clinics that provide mental health services. As we begin to incorporate the Mental Health Clinic Standards of Care into the clinic licensing reviews with the use of a new process and survey standards, we are very interested in obtaining your feedback. Now that the licensing review has been completed at your clinic, your completion of this questionnaire will assist us in refining the process and ensuring the successful implementation of this new initiative. Please be assured that your responses will be kept confidential.

Thank you for taking the time to fill out this questionnaire. Your input is greatly appreciated.