Client Satisfaction Survey Question Title * 1. Where was your or your loved one's last appointment? Emmetsburg Estherville Rock Rapids Sheldon Sibley Spencer Spirit Lake Storm Lake Sioux Center Sioux City Carroll Other (please specify) Question Title * 2. What service(s) did you or your loved one receive? Outpatient Psychiatry Inpatient Psychiatry at the Spencer Hospital Counseling or Therapy Services H.E.A.L. | Trauma Therapy Substance Use Disorder Services Community Based Services | BHIS Psychological Testing Intensive Psychiatric Rehabilitation (IPR) Services Peer Support Program Respite Services Certified Community Behavioral Health Clinic (CCBHC) Other (please specify) Question Title * 3. Who was your provider(s)? Abbie Van Schepen Adam Lybarger Alicia Beltman Alyssa Nelson Amber Christianson Amber Klynsma Amber Otto Ana Santacruz Anita Stoner Angela Palmer Anne Peters Anne Reiter April Sikora April Woudstra Brittany Krause Brittany Laubenthal Candace Trenary Carlos Castillo Carrie Schuller Chelsi Jahn Christopher Davidson Chris Marfechuk Collin Bohlke Courtney Studer Danielle Korthals Emili Lair Emily Hagebock Emily Rohlk Emily Sliefert Gary Caviness Gus Raymond Heather Glasser Holly Giesen Jackie Cosby Jan Pingel Janelle Hultquist Janet Pedroza Jayden Reiser-Millard Jean Arndt Jenna Kitchenmaster Jenna Visser Jessica Dominiowski Jessica Goodlaxson Jessica Sandoval Jessica Edwards Jessica Ranslow Joel Kostelyk Jordon Wiedeman Kari Miller Kassie Carpio Kate Freese Katie Olesen Katy Lakes Kay Maurer Kelsey Hipnar Kelly Sinnema Kim Goslinga Kimberly Silberstein Kristin Yeske Lindsay Metcalf Lindsay Obbink Lisa Matheson Lisa Matthews Lynn Morris-Turner Lynn Van Putten Maggie Greving Mandy Boothby Marlee Christoffel Megan Birdsong Meghan Sierck Melinda Hammen Melissa Hoyt Michael Popp Michelle Theesfeld Mikayla Landsness Missy Martini Natalie Sandbulte Nicole Van Ginkel Noel Hoffman Pam Ellis Rachel Thyberg Rafael Montano Rebecca McCrackin Renee Love Sandy Pelzer Shante Whalen Sherri Huizenga Sheya Treglia Steve Edwards Tara Brown Other (please specify) Question Title * 4. I was able to make an appointment within a reasonable timeframe. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 5. Our facilities were welcoming. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 6. Our staff were friendly and helpful. Strongly Agree Agree Neutral Disagree Strongly Disagee Question Title * 7. My provider(s) was prepared for my appointment. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 8. My provider listened to my concerns. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 9. My provider helped me with my concerns. Strongly Agree Agree Neutral Strongly Disagree Disagree Question Title * 10. I would recommend my provider(s) to a friend or family member. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 11. Using any number from 0 to 10, where 0 is the worst experience possible and 10 is the best experience possible, what number would you use to rate your experience with Seasons? 10 9 8 7 6 5 4 3 2 1 0 Question Title * 12. Additional Comments Question Title * 13. If you would like to be entered in a drawing to win a $10.00 gift card for completion of this survey, please submit your First Name, Last Name and Phone Number. Thanks! Done