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VTC Satisfaction Survey

Our goal at Victor is to provide you with exceptional service. Would you please take a moment to provide us with feedback regarding the services you received?
(Please check one for each question)

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* 1. Please select the site you are completing this survey for.

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* 2. Please respond to the following:

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* 3. Which program did the client/family participate in? (Select all that apply)

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* 4. Check One:

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* 5. Overall I am satisfied with the services I received from Victor.

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* 6. The program involved me in treatment/service planning.

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* 7. Appointments and meetings were scheduled collaboratively.

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* 8. Psychiatric/medication support services were available and appropriate.

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* 9. The staff was respectful of my values and culture.

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* 10. If I was to seek help again, I would use your program.

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* 11. How long have you received services from our agency?

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* 12. What other information would you like to share with us about our services?

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