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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.
The support I am receiving at CBH is culturally and linguistically appropriate.
(Required.)
Strongly agree
Agree
Disagree
Strongly disagree
7.
Is there anything else you would like to share about your experience working with Clatsop Behavioral Healthcare?
*
8.
Would you like to be contacted about your feedback?
(Required.)
Yes
No