Thank you!

Advanced Behavioral Health appreciate's the trust that you have given us by referring your patients/clients or consumers to us for mental health treatment.  It is our commitment to better serve you and the community, therefore we appreciate your feedback. Please take a moment to complete this survey.

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* REFERRALS

  Strongly Agree Agree Disagree Strongly Disagree N/A
1. When I have referred someone to this organizaiton, I believe that they were given an appointment within a reasonable time.

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* COMMUNICATION

  Strongly Agree Agree Disagree Strongly Disagree N/A
2. When I last telephoned, the call was answered in a courteous manner.
3. My calls to staff are returned promptly.
4. Staff is responsive to my inquiries or concerns.
5. Staff provides timely feedback regarding disposition of referrals or service contacts.
6. If an appropriate Release of Information was signed by the client, I receive a report regarding assessment and treatment recommendations.
7. After-hours calls are answered promptly.

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* SERVICES

  Strongly Agree Agree Disagree Strongly Disagree N/A
8. Services received from the staff of this organization meet the needs of individuals being served.
9. Staff help individuals that I have referred obtain the right kind of service for their problem(s).
10. Staff have been courteous, knowledgeable, and helpful.

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* OVERALL SATISFACTION

  Strongly Agree Agree Disagree Strongly Disagree N/A
11. In general, I have been satisfied with the services provided by this organization.

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* COMMENTS:

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* Name / Phone / email (OPTIONAL)

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