PORTSMOUTH BEHAVIORAL HEALTHCARE SERVICES
CONSUMER SATISFACTION SURVEY
Instructions
Thank you for taking the time to complete the survey. Our goal is to make sure you are satisfied with the services you are receiving from us. Please complete each question.
Thank you!
*
1.
Year
(Required.)
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
*
2.
Month
(Required.)
January
February
March
April
May
June
July
August
September
October
November
December
*
3.
Program of Service
(Required.)
Adult Recovery Court (ARC)
Adult Mental Health Case Management (MHCM)
Assertive Community Treatment (ACT)
Child Mental Health Case Management (Child MHCM)
Developmental Disabilities Case Management (DDCM)
Developmental Disabilities Day Support (Community Engagement) (DDCE)
Developmental Disabilities Day Support (SHOP)
Jail Diversion (JD)
Medication Assisted Treatment (MAT)
Medication Management Services (MMS)
Mental Health Outpatient (MHOP)
Mental Health Support Services (MHSS)
Mental Health Supervised Residential (The Peak and the Summit)
Outpatient Crisis Stabilization (Emergency Services)
Prevention Services (PS)
Psychosocial Rehabilitation (PSR)
Shelter Plus Care (S+C)
Substance Use Case Management (SUCM)
Substance Use Outpatient (SUOP)
4.
Did you feel welcomed at Portsmouth Behavioral Healthcare Services?
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
5.
Did the services you received meet your needs and expectations?
Very satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
6.
Did the staff assigned to work with you included you in developing your treatment plan?
Very satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Not applicable
7.
Comments
