Page:
1. Was the staff you initially contacted willing and able to assist you with your referral?
answered question
17
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 question
17
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 question
17
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 question
17
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 question
3
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 question
0
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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