Who provided your service? (optional)

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* 2. Who provided your service? (optional)

Please check the service(s) you receive:

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* 3. Please check the service(s) you receive:

Please rate the following:
The level of professionalism and courtesy you receive from Compass Behavioral Health

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* 4. The level of professionalism and courtesy you receive from Compass Behavioral Health

Information given to you about your diagnosis and treatment

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* 5. Information given to you about your diagnosis and treatment

Your satisfaction with the overall quality of services you receive

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* 6. Your satisfaction with the overall quality of services you receive

The scheduling of your appointments (ease, timeliness, accessibility)

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* 7. The scheduling of your appointments (ease, timeliness, accessibility)

Our billing or business procedures were explained well and easy to understand

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* 8. Our billing or business procedures were explained well and easy to understand

Your satisfaction with the overall help you are receiving

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* 9. Your satisfaction with the overall help you are receiving

If you have received televideo services, please rate your experience

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* 10. If you have received televideo services, please rate your experience

How can we improve our services? What can we do better? Are there any other services you would like to see us offer?

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* 11. How can we improve our services? What can we do better? Are there any other services you would like to see us offer?

Are you aware of the complaint and grievance process, if needed?

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* 12. Are you aware of the complaint and grievance process, if needed?

Other comments or suggestions:

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* 13. Other comments or suggestions:

For information related to this survey or the complaint and grievance process, please contact Tiffany Burrows, Quality Improvement Manager, at tburrows@compassbh.org or 620-275-0644.

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