Journey Support Services 1. Overall Experience Question Title * 1. Please list the Journey provider(s) you are working with. Question Title * 2. Please type your name below to verify your identity. Question Title * 3. On a scale of 1 to 5, how satisfied are you with the provider's communication with you throughout the duration of the case? Very Satisfied: 5Satisfied: 4Neutral: 3Dissatisfied: 2Very Dissatisfied: 1 1 3 5 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 4. On a scale of 1 to 5, how would you rate your confidence in the provider's thoroughness throughout the duration of the case in satisfying the DCS mission to promote the safety and well-being of children? Very Satisfied: 5Satisfied: 4Neutral: 3Dissatisfied: 2Very Dissatisfied: 1 0 3 100 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 5. How satisfied are you with the provider's professionalism throughout the duration of the case? Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Report Submission (Timeliness and Clarity) Report Submission (Timeliness and Clarity) Very Dissatisfied Report Submission (Timeliness and Clarity) Dissatisfied Report Submission (Timeliness and Clarity) Neutral Report Submission (Timeliness and Clarity) Satisfied Report Submission (Timeliness and Clarity) Very Satisfied Punctuality (Child and Family Team Meetings and Court Proceedings) Punctuality (Child and Family Team Meetings and Court Proceedings) Very Dissatisfied Punctuality (Child and Family Team Meetings and Court Proceedings) Dissatisfied Punctuality (Child and Family Team Meetings and Court Proceedings) Neutral Punctuality (Child and Family Team Meetings and Court Proceedings) Satisfied Punctuality (Child and Family Team Meetings and Court Proceedings) Very Satisfied Professional Appearance Professional Appearance Very Dissatisfied Professional Appearance Dissatisfied Professional Appearance Neutral Professional Appearance Satisfied Professional Appearance Very Satisfied Professional Conduct Professional Conduct Very Dissatisfied Professional Conduct Dissatisfied Professional Conduct Neutral Professional Conduct Satisfied Professional Conduct Very Satisfied Question Title * 6. On a scale of 1 to 5, how satisfied are you in the provider's effectiveness in monitoring and encouraging client's progress in achieving goals set out in the Case Plan? Very Satisfied: 5Satisfied: 4Neutral: 3Dissatisfied: 2Very Dissatisfied: 1 1 3 5 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 7. What service did you refer your client for, to Journey Support Services LLC? (Please check all that apply) Home-Based Casework Home-Based Family Therapy Supervised Visitation Parent Education Question Title * 8. Would you recommend Journey Support Services LLC to a co-worker? Yes No Question Title * 9. Do you plan to continue sending referrals to Journey Support Services LLC? Yes No Question Title * 10. Please share any additional comments, questions or suggestions. Next
