Client Satisfaction Survey 2011
Exit this survey
Do you feel like the client rights and privacy policies were explained in an appropriate manner and you were able to understand them?
Do you feel like the client rights and privacy policies were explained in an appropriate manner and you were able to understand them?
Yes
No
Do your appointments begin on time?
Do your appointments begin on time?
Yes
No
Do you think your treatment goals and objectives are appropriate for your needs?
Do you think your treatment goals and objectives are appropriate for your needs?
Yes
No
Do you think your therapist has your best interest in mind during therapy/counseling/community support sessions?
Do you think your therapist has your best interest in mind during therapy/counseling/community support sessions?
Yes
No
Do you think you have made improvements towards your treatment goals and objectives?
Do you think you have made improvements towards your treatment goals and objectives?
Strongly Agree
Agree
Disagree
Strongly Disagree
How long do you plan on continuing services?
How long do you plan on continuing services?
0-6 months
6 months – over 1 year
2+ years
Not sure
How would you rate your satisfaction with services?
How would you rate your satisfaction with services?
Very satisfied
Satisfied
Not satisfied
I would recommend CRCC services to others:
I would recommend CRCC services to others:
Strongly Agree
Agree
Disagree
Strongly Disagree
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