Satisfaction Survey for website
Exit this survey >>

1. Agency-wide Satisfaction Survey

Please help us serve you better by completing this short survey!

1. What programs/services are you involved in at Transitions? (Choose all that apply)

What programs/services are you involved in at Transitions? (Choose all that apply) Outpatient Therapy

Psychiatric Services with doctor

Children/Adolescent Community-based Services

Adult Community-based Services

Community Villa

Infant and Toddler Services

Transitions School

Vocational Services

Residential Services for the Developmentally Disabled (group home)

Supported Housing Services for the Developmentally Disabled

New Horizons Day Program

2. Please rate the following:

	Poor	Fair	Good	Very Good	Excellent
Accessibility, cleanliness, and comfort of facilities	*Please rate the following: Accessibility, cleanliness, and comfort of facilities Poor	Accessibility, cleanliness, and comfort of facilities Fair	Accessibility, cleanliness, and comfort of facilities Good	Accessibility, cleanliness, and comfort of facilities Very Good	Accessibility, cleanliness, and comfort of facilities Excellent
Wait time until first appointment	Wait time until first appointment Poor	Wait time until first appointment Fair	Wait time until first appointment Good	Wait time until first appointment Very Good	Wait time until first appointment Excellent
Helpfulness and friendliness of agency staff members	Helpfulness and friendliness of agency staff members Poor	Helpfulness and friendliness of agency staff members Fair	Helpfulness and friendliness of agency staff members Good	Helpfulness and friendliness of agency staff members Very Good	Helpfulness and friendliness of agency staff members Excellent

3. Please rate the following:

	Poor	Fair	Good	Very Good	Excellent
The degree to which treatment helped you to deal with your problem/complaint	*Please rate the following: The degree to which treatment helped you to deal with your problem/complaint Poor	The degree to which treatment helped you to deal with your problem/complaint Fair	The degree to which treatment helped you to deal with your problem/complaint Good	The degree to which treatment helped you to deal with your problem/complaint Very Good	The degree to which treatment helped you to deal with your problem/complaint Excellent
The degree to which services have supported your efforts to become more self-sufficient	The degree to which services have supported your efforts to become more self-sufficient Poor	The degree to which services have supported your efforts to become more self-sufficient Fair	The degree to which services have supported your efforts to become more self-sufficient Good	The degree to which services have supported your efforts to become more self-sufficient Very Good	The degree to which services have supported your efforts to become more self-sufficient Excellent
Overall quality of care and services	Overall quality of care and services Poor	Overall quality of care and services Fair	Overall quality of care and services Good	Overall quality of care and services Very Good	Overall quality of care and services Excellent

4. Please rate your agreement to the statement "I would recommend Transitions of Western Illinois to a friend".

Please rate your agreement to the statement "I would recommend Transitions of Western Illinois to a friend". Strongly Agree

Agree

Disagree

Strongly Disagree

Please finish survey on back of this page

5. Please rate your agreement with the statement "I am satisfied with the services that I receive from Transitions of Western Illinois."

Please rate your agreement with the statement "I am satisfied with the services that I receive from Transitions of Western Illinois." Strongly Agree

Agree

Disagree

Strongly Disagree

6. Other Comments/How could Transitions of Western Illinois' services be improved?

Other Comments/How could Transitions of Western Illinois' services be improved?

form {display:none;} #jserror {text-align:center;margin-top:50px;}Javascript is required for this site to function, please enable.