CLIENT SURVEY
Exit this survey 

1. I took part in choosing which services I would receive:
2. The services I receive help me with my problems:
3. I am happy with the services I receive
4. The location where I received Mental Health services was good.
5. I was happy with the waiting time between when I was first contacted by the Center and when I actually was seen:
6. Have you used our Crisis Services?
7. I used crisis services:
8. The crisis services provided were helpful to me:
9. The clinical staff answered my questions about psychotropic medication: (e.g. anti-depressants)
10. Counseling Services has helped me get or referred me to obtain Food, Medical Treatment, Housing or Legal services.
11. I feel the Mental Health Staff understands my needs about:
Ethnic/CultureAgeDisabilitySexual Minority Status
Yes
No
Does Not Apply
12. I was treated with respect and dignity:
13. My confidentiality was respected:
14. Please give us comments or suggestions:
15. We would be happy to give you a response to your specific questions, suggestion, or comments. Please give us your name, address or phone number.

THANK YOU FOR COMPLETING THIS SURVEY. YOUR FEEDBACK IS IMPORTANT.