Pathways Referral Survey
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1.

How often do you refer to Pathways? Yearly

Quarterly

Monthly

Weekly

How many of your patients and their families prefer weekend admissions for residential treatment? All

Many

Few

None,it doesn't matter to them.

	Excellent	Good	Needs Improvement	Poor
Admissions Process	*Please rate the following Admissions Process Excellent	Admissions Process Good	Admissions Process Needs Improvement	Admissions Process Poor
Staff communication	Staff communication Excellent	Staff communication Good	Staff communication Needs Improvement	Staff communication Poor
Quality of care	Quality of care Excellent	Quality of care Good	Quality of care Needs Improvement	Quality of care Poor
Discharge planning	Discharge planning Excellent	Discharge planning Good	Discharge planning Needs Improvement	Discharge planning Poor

In your opinion, how does the treatment compare to other residential facilities? Above average

Average

Below average

Terrible

Are you seeing an increase in patients wanting intensive outpatient treatment instead of residential? Yes

If yes, why do you beleive they want outpatient instead of residential? Financial Issues

Work

Family

Other

What would you like for Pathways to change or add to better serve the patients you see?

If you would like to be included in the drawing for a $25 Amazon gift card please leave your name and email address below. (Names are not included on individual surveys.) Name
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