Case Management Survey 2016

Question Title

* 1. Are you a -

Person living with a mental illness

Parent/Guardian of a child living with a mental illness

Family member of an adult living with a mental illness

Mental health professional or practitioner

Other (please specify)

Question Title

* 2. Do you or your loved one receive case management services?

Yes

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* 3. On a scale of 1 - 10 with 10 being very satisfied, how satisfied are you with the case management services you or your loved is receiving?

Very unsatisfied

Not satisfied

Neutral

Satisfied

Very satisfied

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* 4. Are you or your loved one receiving case management from:

A county worker

An agency contracted through the county

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* 5. How important are the issues below to you?

	Very important	Important	Not important
Choice of case manager	Choice of case manager Very important	Choice of case manager Important	Choice of case manager Not important	Choice of case manager	Choice of case manager
Finding services	Finding services Very important	Finding services Important	Finding services Not important	Finding services	Finding services
Checking to make sure everything is okay	Checking to make sure everything is okay Very important	Checking to make sure everything is okay Important	Checking to make sure everything is okay Not important	Checking to make sure everything is okay	Checking to make sure everything is okay
Helping with paperwork	Helping with paperwork Very important	Helping with paperwork Important	Helping with paperwork Not important	Helping with paperwork	Helping with paperwork
Being there when needed before a crisis occurs	Being there when needed before a crisis occurs Very important	Being there when needed before a crisis occurs Important	Being there when needed before a crisis occurs Not important	Being there when needed before a crisis occurs	Being there when needed before a crisis occurs
Coordinating services	Coordinating services Very important	Coordinating services Important	Coordinating services Not important	Coordinating services	Coordinating services
Work with individual to set goals for recovery	Work with individual to set goals for recovery Very important	Work with individual to set goals for recovery Important	Work with individual to set goals for recovery Not important	Work with individual to set goals for recovery	Work with individual to set goals for recovery
Problem solve	Problem solve Very important	Problem solve Important	Problem solve Not important	Problem solve	Problem solve

Other (please specify)

Case Management Survey 2016

Case Management Survey 2016

Question Title

* 1. Are you a -

Question Title

* 2. Do you or your loved one receive case management services?

Question Title

* 3. On a scale of 1 - 10 with 10 being very satisfied, how satisfied are you with the case management services you or your loved is receiving?

Question Title

* 4. Are you or your loved one receiving case management from:

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* 5. How important are the issues below to you?

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* 6. What top three changes would you like to see to the case management system?

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* 7. Any other comments?