Satisfaction Survey

Question Title

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

Adult Case Management

Children's Case Management

Section 28

Outpatient Therapy or DBT

Crisis

HCT

Question Title

* 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

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

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

0 - Not at all

5 - Somewhat

10 - Yes

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

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

0 - Not at all

5 - Somewhat

10 - Yes, very much so

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. Did the provider understand your needs?

0 - Not at all

5 - Somewhat

10 - Yes, very much so

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 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

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 7. Was the provider responsive to your calls?

0 - Not at all

5 - Somewhat

10 - Yes, very much so

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

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

Question Title

* 9. How can we make improve our services?

Question Title

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

0 - Not Satisfied at all

5- Somewhat Satisfied

10 - Very Satisfied

Clear

i We adjusted the number you entered based on the slider’s scale.