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Client Statisfaction Survey
Please rate the following statements and answer the questions below.
*
1.
I would refer a friend or family member to CBH.
(Required.)
Strongly Agree
Agree
Disagree
Strongly Disagree
*
2.
My clinician was professional and made me feel comfortable in the session.
(Required.)
Strongly Agree
Agree
Disagree
Strongly Disagree
*
3.
Accessing services was simple and easy to navigate.
(Required.)
Strongly Agree
Agree
Disagree
Strongly Disagree
*
4.
I was offered an appointment within two weeks of my request.
(Required.)
Strongly Agree
Agree
Disagree
Strongly Disagree
*
5.
The supports I am receiving at CBH are helping me live a healthier life.
(Required.)
Strongly Agree
Agree
Disagree
Strongly Disagree
6.
Is there anything else you would like to share about your experience working with Clatsop Behavioral Healthcare?
*
7.
Would you like to be contacted about your feedback?
(Required.)
Yes
No