Screen Reader Mode Icon

Question Title

* 1. Would you recommend that the agency include any of the following health and social concerns in its service delivery system? (Check all that may apply.)

Question Title

* 2. Accessibility to agency services/programs is important! Please report your experience on the following.

  True False
My First contact with the agency was positive.
The building was clean and suited for the care I received.
I felt safe while in the building and receiving my care.
My appointments and group sessions started on time.
After hour services would be welcomed.

Question Title

* 3. The following "daily life issues" could prevent me from being involved in services? Check all that may apply.)

Question Title

* 4. How satisfied have you been with all your help?

Question Title

* 5. How likely is it that you would recommend our programs and services to others?

Question Title

* 6. Please feel free to make helpful comments to us as we try to improve our programs and services. 

0 of 6 answered
 

T