Satisfaction Survey (all) FY12

Hello!

To insure that we are meeting the needs of our clients, we would like to hear your opinions about the mental health and/or substance abuse services that were provided to you (or your family) by FCS and our staff.

Your participation is completely voluntary and your answers will remain anonymous. Please give us your honest opinion of our services.

We look forward to reviewing the information that we receive and finding ways to improve our services.
We would appreciate your feedback on our performance.

Thank you!
Fremont Counseling Service

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
Since I have received services at FCS I am better at handling daily life.	Since I have received services at FCS I am better at handling daily life. Strongly Agree	Since I have received services at FCS I am better at handling daily life. Agree	Since I have received services at FCS I am better at handling daily life. Neutral	Since I have received services at FCS I am better at handling daily life. Disagree	Since I have received services at FCS I am better at handling daily life. Strongly Disagree	Since I have received services at FCS I am better at handling daily life. N/A
The FCS offices are in convenient locations.	The FCS offices are in convenient locations. Strongly Agree	The FCS offices are in convenient locations. Agree	The FCS offices are in convenient locations. Neutral	The FCS offices are in convenient locations. Disagree	The FCS offices are in convenient locations. Strongly Disagree	The FCS offices are in convenient locations. N/A
I am in charge of managing my treatment.	I am in charge of managing my treatment. Strongly Agree	I am in charge of managing my treatment. Agree	I am in charge of managing my treatment. Neutral	I am in charge of managing my treatment. Disagree	I am in charge of managing my treatment. Strongly Disagree	I am in charge of managing my treatment. N/A
I decided my goals for treatment - my treatment goals were not decided for me.	I decided my goals for treatment - my treatment goals were not decided for me. Strongly Agree	I decided my goals for treatment - my treatment goals were not decided for me. Agree	I decided my goals for treatment - my treatment goals were not decided for me. Neutral	I decided my goals for treatment - my treatment goals were not decided for me. Disagree	I decided my goals for treatment - my treatment goals were not decided for me. Strongly Disagree	I decided my goals for treatment - my treatment goals were not decided for me. N/A
I know when I will be ready to end treatment.	I know when I will be ready to end treatment. Strongly Agree	I know when I will be ready to end treatment. Agree	I know when I will be ready to end treatment. Neutral	I know when I will be ready to end treatment. Disagree	I know when I will be ready to end treatment. Strongly Disagree	I know when I will be ready to end treatment. N/A
I feel comfortable asking questions about my treatment.	I feel comfortable asking questions about my treatment. Strongly Agree	I feel comfortable asking questions about my treatment. Agree	I feel comfortable asking questions about my treatment. Neutral	I feel comfortable asking questions about my treatment. Disagree	I feel comfortable asking questions about my treatment. Strongly Disagree	I feel comfortable asking questions about my treatment. N/A
I would recommend FCS to a friend or family member.	I would recommend FCS to a friend or family member. Strongly Agree	I would recommend FCS to a friend or family member. Agree	I would recommend FCS to a friend or family member. Neutral	I would recommend FCS to a friend or family member. Disagree	I would recommend FCS to a friend or family member. Strongly Disagree	I would recommend FCS to a friend or family member. N/A
I would recommend my treatment provider to a friend or family member.	I would recommend my treatment provider to a friend or family member. Strongly Agree	I would recommend my treatment provider to a friend or family member. Agree	I would recommend my treatment provider to a friend or family member. Neutral	I would recommend my treatment provider to a friend or family member. Disagree	I would recommend my treatment provider to a friend or family member. Strongly Disagree	I would recommend my treatment provider to a friend or family member. N/A
Overall, I am satisfied with the services I received from FCS.	Overall, I am satisfied with the services I received from FCS. Strongly Agree	Overall, I am satisfied with the services I received from FCS. Agree	Overall, I am satisfied with the services I received from FCS. Neutral	Overall, I am satisfied with the services I received from FCS. Disagree	Overall, I am satisfied with the services I received from FCS. Strongly Disagree	Overall, I am satisfied with the services I received from FCS. N/A
I was treated with courtesy and respect by the staff at FCS.	I was treated with courtesy and respect by the staff at FCS. Strongly Agree	I was treated with courtesy and respect by the staff at FCS. Agree	I was treated with courtesy and respect by the staff at FCS. Neutral	I was treated with courtesy and respect by the staff at FCS. Disagree	I was treated with courtesy and respect by the staff at FCS. Strongly Disagree	I was treated with courtesy and respect by the staff at FCS. N/A
Services were provided in a timely manner.	Services were provided in a timely manner. Strongly Agree	Services were provided in a timely manner. Agree	Services were provided in a timely manner. Neutral	Services were provided in a timely manner. Disagree	Services were provided in a timely manner. Strongly Disagree	Services were provided in a timely manner. N/A
Efforts were made to ensure and maintain my privacy and confidentiality.	Efforts were made to ensure and maintain my privacy and confidentiality. Strongly Agree	Efforts were made to ensure and maintain my privacy and confidentiality. Agree	Efforts were made to ensure and maintain my privacy and confidentiality. Neutral	Efforts were made to ensure and maintain my privacy and confidentiality. Disagree	Efforts were made to ensure and maintain my privacy and confidentiality. Strongly Disagree	Efforts were made to ensure and maintain my privacy and confidentiality. N/A
I understood the explanations about the FCS intake forms and billing process.	I understood the explanations about the FCS intake forms and billing process. Strongly Agree	I understood the explanations about the FCS intake forms and billing process. Agree	I understood the explanations about the FCS intake forms and billing process. Neutral	I understood the explanations about the FCS intake forms and billing process. Disagree	I understood the explanations about the FCS intake forms and billing process. Strongly Disagree	I understood the explanations about the FCS intake forms and billing process. N/A
The FCS offices are comfortable and accessible.	The FCS offices are comfortable and accessible. Strongly Agree	The FCS offices are comfortable and accessible. Agree	The FCS offices are comfortable and accessible. Neutral	The FCS offices are comfortable and accessible. Disagree	The FCS offices are comfortable and accessible. Strongly Disagree	The FCS offices are comfortable and accessible. N/A
FCS appointments are available at times that are good for me.	FCS appointments are available at times that are good for me. Strongly Agree	FCS appointments are available at times that are good for me. Agree	FCS appointments are available at times that are good for me. Neutral	FCS appointments are available at times that are good for me. Disagree	FCS appointments are available at times that are good for me. Strongly Disagree	FCS appointments are available at times that are good for me. N/A

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

N/A

Since I have received services at FCS I am better at handling daily life.

Since I have received services at FCS I am better at handling daily life. Strongly Agree

Since I have received services at FCS I am better at handling daily life. Agree

Since I have received services at FCS I am better at handling daily life. Neutral

Since I have received services at FCS I am better at handling daily life. Disagree

Since I have received services at FCS I am better at handling daily life. Strongly Disagree

Since I have received services at FCS I am better at handling daily life. N/A

The FCS offices are in convenient locations.

The FCS offices are in convenient locations. Strongly Agree

The FCS offices are in convenient locations. Agree

The FCS offices are in convenient locations. Neutral

The FCS offices are in convenient locations. Disagree

The FCS offices are in convenient locations. Strongly Disagree

The FCS offices are in convenient locations. N/A

I am in charge of managing my treatment.

I am in charge of managing my treatment. Strongly Agree

I am in charge of managing my treatment. Agree

I am in charge of managing my treatment. Neutral

I am in charge of managing my treatment. Disagree

I am in charge of managing my treatment. Strongly Disagree

I am in charge of managing my treatment. N/A

I decided my goals for treatment - my treatment goals were not decided for me.

I decided my goals for treatment - my treatment goals were not decided for me. Strongly Agree

I decided my goals for treatment - my treatment goals were not decided for me. Agree

I decided my goals for treatment - my treatment goals were not decided for me. Neutral

I decided my goals for treatment - my treatment goals were not decided for me. Disagree

I decided my goals for treatment - my treatment goals were not decided for me. Strongly Disagree

I decided my goals for treatment - my treatment goals were not decided for me. N/A

I know when I will be ready to end treatment.

I know when I will be ready to end treatment. Strongly Agree

I know when I will be ready to end treatment. Agree

I know when I will be ready to end treatment. Neutral

I know when I will be ready to end treatment. Disagree

I know when I will be ready to end treatment. Strongly Disagree

I know when I will be ready to end treatment. N/A

I feel comfortable asking questions about my treatment.

I feel comfortable asking questions about my treatment. Strongly Agree

I feel comfortable asking questions about my treatment. Agree

I feel comfortable asking questions about my treatment. Neutral

I feel comfortable asking questions about my treatment. Disagree

I feel comfortable asking questions about my treatment. Strongly Disagree

I feel comfortable asking questions about my treatment. N/A

I would recommend FCS to a friend or family member.

I would recommend FCS to a friend or family member. Strongly Agree

I would recommend FCS to a friend or family member. Agree

I would recommend FCS to a friend or family member. Neutral

I would recommend FCS to a friend or family member. Disagree

I would recommend FCS to a friend or family member. Strongly Disagree

I would recommend FCS to a friend or family member. N/A

I would recommend my treatment provider to a friend or family member.

I would recommend my treatment provider to a friend or family member. Strongly Agree

I would recommend my treatment provider to a friend or family member. Agree

I would recommend my treatment provider to a friend or family member. Neutral

I would recommend my treatment provider to a friend or family member. Disagree

I would recommend my treatment provider to a friend or family member. Strongly Disagree

I would recommend my treatment provider to a friend or family member. N/A

Overall, I am satisfied with the services I received from FCS.

Overall, I am satisfied with the services I received from FCS. Strongly Agree

Overall, I am satisfied with the services I received from FCS. Agree

Overall, I am satisfied with the services I received from FCS. Neutral

Overall, I am satisfied with the services I received from FCS. Disagree

Overall, I am satisfied with the services I received from FCS. Strongly Disagree

Overall, I am satisfied with the services I received from FCS. N/A

I was treated with courtesy and respect by the staff at FCS.

I was treated with courtesy and respect by the staff at FCS. Strongly Agree

I was treated with courtesy and respect by the staff at FCS. Agree

I was treated with courtesy and respect by the staff at FCS. Neutral

I was treated with courtesy and respect by the staff at FCS. Disagree

I was treated with courtesy and respect by the staff at FCS. Strongly Disagree

I was treated with courtesy and respect by the staff at FCS. N/A

Services were provided in a timely manner.

Services were provided in a timely manner. Strongly Agree

Services were provided in a timely manner. Agree

Services were provided in a timely manner. Neutral

Services were provided in a timely manner. Disagree

Services were provided in a timely manner. Strongly Disagree

Services were provided in a timely manner. N/A

Efforts were made to ensure and maintain my privacy and confidentiality.

Efforts were made to ensure and maintain my privacy and confidentiality. Strongly Agree

Efforts were made to ensure and maintain my privacy and confidentiality. Agree

Efforts were made to ensure and maintain my privacy and confidentiality. Neutral

Efforts were made to ensure and maintain my privacy and confidentiality. Disagree

Efforts were made to ensure and maintain my privacy and confidentiality. Strongly Disagree

Efforts were made to ensure and maintain my privacy and confidentiality. N/A

I understood the explanations about the FCS intake forms and billing process.

I understood the explanations about the FCS intake forms and billing process. Strongly Agree

I understood the explanations about the FCS intake forms and billing process. Agree

I understood the explanations about the FCS intake forms and billing process. Neutral

I understood the explanations about the FCS intake forms and billing process. Disagree

I understood the explanations about the FCS intake forms and billing process. Strongly Disagree

I understood the explanations about the FCS intake forms and billing process. N/A

The FCS offices are comfortable and accessible.

The FCS offices are comfortable and accessible. Strongly Agree

The FCS offices are comfortable and accessible. Agree

The FCS offices are comfortable and accessible. Neutral

The FCS offices are comfortable and accessible. Disagree

The FCS offices are comfortable and accessible. Strongly Disagree

The FCS offices are comfortable and accessible. N/A

FCS appointments are available at times that are good for me.

FCS appointments are available at times that are good for me. Strongly Agree

FCS appointments are available at times that are good for me. Agree

FCS appointments are available at times that are good for me. Neutral

FCS appointments are available at times that are good for me. Disagree

FCS appointments are available at times that are good for me. Strongly Disagree

FCS appointments are available at times that are good for me. N/A

Satisfaction Survey (all) FY12

How Are We Doing?

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* 1. Month of Survey Response

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* 2. Please answer the following questions:

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* 3. Tell us a little about you:

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* 4. Why did you come to Fremont Counseling for services?

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* 5. I received services in:

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* 6. I received services from:

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* 7. FCS identified services as:

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* 8. How has your life improved since you've worked with us? What has been the most helpful about the services you have received? Is there anything that would have made your visit(s) better? What would improve the services we provide? Please feel free to share any of your comments.

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* 9. Would you like to speak to someone about your visit today? If so, please provide us with information on how we can reach you.