Please answer the following questions with rating scale of number 5 being the highest/ best satisfaction level and number 1 as the lowest/ worst satisfaction level. We apprecciate your taking the time to participate, so we can continue to serve you with the best quality of care possible.

* 1. What was the name of the Therapist or Case Manager you saw at SunServe?

* 2. Were you treated with respect and courtesy by the SunServe staff?

* 3. Has your participation in SunServe programs improved your access to health and/ or support services?

* 4. Was program information presented to you in a manner that was easily understood?

* 5. Did SunServe staff explain your rights as a program participant?

* 6. Did SunServe staff explain your responsibilities as a program participant?

* 7. Did you participate in planning your treatment or service goals?

* 8. Were services delivered in a safe environment?

* 9. Were services delivered in a comfortable environment?

* 10. Since receiving SunServe services have you improved or maintained your adherence to your healthcare?

* 11. Since receiving SunServe services have you improved or maintained your adherence to your medications?

* 12. How was the over all quality of care that has been provided to you by SunServe?

* 13. Please check ALL of the programs you have participated in THIS YEAR:

* 14. Gender

* 15. Age:

* 16. Race:

* 17. Ethnicity:

* 18. Primary Language:

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Thank you for your participation in our survey!
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