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Post-Discharge Survey
Thank you for taking the time to complete this brief survey. CBHC values the input from the population we serve, and we use your feedback to improve services.
1.
Which Program(s) were you or your child discharged from? You may select all that apply. If you are unsure, please describe the service in the box below.
Case Management
Crisis Stabilization Unit
Drug Court
Healthy Start
Medication Administration
Mental Health Court
Outpatient Mental Health (Counseling)
Outpatient Substance Abuse
Recovery Center
TBOS
Therapeutic Family Care
Other (please specify)
2.
I was given hope while receiving services
Strongly Agree
Agree
Disagree
Strongly Disagree
3.
I was treated with dignity and respect while receiving services.
Strongly Agree
Agree
Disagree
Strongly Disagree
4.
CBHC focused on my recovery when providing services.
Strongly Agree
Agree
Disagree
Strongly Disagree
5.
If I had complaints, they were handled well.
Strongly Agree
Agree
Disagree
Strongly Disagree
6.
Overall, I am satisfied with the services I received.
Strongly Agree
Agree
Disagree
Strongly Disagree
7.
I was provided with adequate information to assist in making an informed decision about modes of treatment, medication, etc.
Strongly Agree
Agree
Disagree
Strongly Disagree
8.
The services provided are affordable.
Strongly Agree
Agree
Disagree
Strongly Disagree
9.
The building (waiting room, office, rest rooms, etc.) was accessible to me.
Strongly Agree
Agree
Disagree
Strongly Disagree
10.
The service I received was effective.
Strongly Agree
Agree
Disagree
Strongly Disagree
11.
The service I received was valuable to me.
Strongly Agree
Agree
Disagree
Strongly Disagree
12.
Services were easy to access.
Strongly Agree
Agree
Disagree
Strongly Disagree
13.
Have you been hospitalized in a psychiatric facility or admitted to a Crisis Stabilization Unit since you were discharged?
Yes
No
14.
Have you been arrested since your were discharged?
Yes
No
15.
Do you think you were prepared for your discharge?
Yes
No
16.
What could we have done better to prepare you for your discharge?
17.
What suggestions, if any, do you have for CBHC that would help improve services?