Client Satisfaction Survey

Thank you for your participation in this survey!  We appreciate your help in our efforts to improve our services.

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* 1. The facility is comfortable and attractive.

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* 2. Children’s Advantage provides a safe environment for my child and me. 

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* 3. In general, the receptionist seems professional, knowledgeable, friendly and helpful.

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* 4. My child is seen in a timely manner.

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* 5. My child's needs. related to prescription refills, returned phone calls, and other medical issues, are taken care of in a timely manner.

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* 6. The psychiatrist/PMHNP listens to my child's needs and concerns and understands my child's problems.

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* 7. Carla, the Registered Nurse, listens to the needs of my child and is helpful and knowledgeable regarding such needs.

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* 8. I am satisfied with the psychiatric services my child is receiving.

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* 9. Please tell us the name of your provider.

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* 10. I know who to call if my child is having a psychiatric crisis.

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* 11. If a friend were in need of similar help, I would recommend Children's Advantage.

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* 12. How likely are you to continue utilizing services at Children’s Advantage?

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* 13. What is most important in your decision to continue with treatment at Children’s Advantage?  (check one)

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* 14. My child has made progress with psychiatric services

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* 15.  Do you have any suggestions for improving our services or additional comments?

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* 16. Please tell us a little about your child.

  Race Age
Demographics

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* 17. Number of Psychiatry Sessions Completed

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* 18. In addition to Psychiatry, my child receives/has received these additional services through Children's Advantage (choose all that apply):

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* 19. Name (Optional):

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* 20. Please give us your thoughts on the reminder text system:

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