Consumer Satisfaction Survey

Introduction

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Please help us by answering some questions about the services you receive at Charlotte Behavioral Health Care. We really want to know what you think - whether positive or negative. For each item below, please select the answer that best describes your opinion. To begin, answer the first two questions below for the individual receiving treatment and then click next.

Thank you for your help!

-The Quality Management Team

Question Title

* In which programs are you participating? You may select all that apply.
If you are unsure, try to describe the service in the box below.

Case Management

Criminal Justice Grant

Crisis Services Unit

Drug Court

Healthy Start

Medication Administration

Mental Health Court

Outpatient-Mental Health

Outpatient-Substance Abuse

Recovery Center-Detox

Recovery Center-Residential

School Services (TBOS)

Therapeutic Foster Care (TFC)

Not sure? (please describe)

Question Title

* Is the individual receiving services an adult or child?

Adult (18 or older)

Child (17 or younger)

Question Title

* In which programs are you participating? You may select all that apply.If you are unsure, try to describe the service in the box below.

Question Title

* Is the individual receiving services an adult or child?

* In which programs are you participating? You may select all that apply.
If you are unsure, try to describe the service in the box below.