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1. Was the staff you initially contacted willing and able to assist you with your referral?
 answered question17
 
skipped question
0
 Response
Percent
Response
Count
Yes
94.1%16
No
5.9%1

2. Please rate our timeliness in assisting clients you have referred and the services they have or are receiving from us.
 answered question17
 
skipped question
0
 Response
Percent
Response
Count
N/A 0.0%0
Poor
17.6%3
Fair
17.6%3
Good
41.2%7
Very Good
11.8%2
Excellent
11.8%2

3. Were the services provided to your referral appropriate?
 answered question17
 
skipped question
0
 Response
Percent
Response
Count
Yes
82.4%14
No
17.6%3
If no, please explain:
[ShowReplies]
3

4. Please rate the overall improvement you have seen in the reduction of mental health, drug, alcohol, and/or substance abuse symptoms in the individual you referred.
 answered question17
 
skipped question
0
 Response
Percent
Response
Count
N/A
17.6%3
Poor
5.9%1
Fair
47.1%8
Good
11.8%2
Very Good
11.8%2
Excellent
5.9%1

5. Would you like additional information on the services we provides? If yes, please provide contact information:
 answered question3
 
skipped question
14
 Response
Percent
Response
Count
Name:
[ShowReplies]
100.0%3
Company:
[ShowReplies]
100.0%3
Address:
[ShowReplies]
100.0%3
Phone:
[ShowReplies]
66.7%2
Email:
[ShowReplies]
66.7%2

6. Would you like for someone to personally call you? If yes, please provide contact information:
 answered question0
 
skipped question
17
 Response
Percent
Response
Count
Name: 0.0%0
Company: 0.0%0
Address: 0.0%0
Phone: 0.0%0
Email: 0.0%0

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