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* 1. What service did you or your child participate in?

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* 2. Did the provider help you achieve the purpose for which you sought services?

0 - Not at all 5 - Somewhat 10 - Yes, very much so
i We adjusted the number you entered based on the slider’s scale.

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* 3. Were you able to identify skills to help you in the future?

0 - Not at all 5 - Somewhat 10 - Yes
i We adjusted the number you entered based on the slider’s scale.

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* 4. Did the provider show interest in helping or supporting you?

0 - Not at all 5 - Somewhat 10 - Yes, very much so
i We adjusted the number you entered based on the slider’s scale.

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* 5. Did the provider understand your needs?

0 - Not at all 5 - Somewhat 10 - Yes, very much so
i We adjusted the number you entered based on the slider’s scale.

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* 6. Were you involved in the development of your treatment and/or follow up plan?

0 - Not at all 5 - Somewhat 10 - Yes, very much so
i We adjusted the number you entered based on the slider’s scale.

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* 7. Was the provider responsive to your calls?

0 - Not at all 5 - Somewhat 10 - Yes, very much so
i We adjusted the number you entered based on the slider’s scale.

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* 8. Are there additional services you would like to see us offer?

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* 9. How can we make improve our services?

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* 10. How satisfied are you with the services provided?

0 - Not Satisfied at all 5- Somewhat Satisfied 10 - Very Satisfied
i We adjusted the number you entered based on the slider’s scale.
0 of 10 answered
 

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