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Care Partner RAP Survey

We appreciate and value your constructive feedback and will use this information to help shape future care and programing at our facility. Thank you—your opinions are welcome and important to our team. Not all questions may be specific to your experience.
1.Name
2.If open to us contacting you for further feedback please enter a phone number. 
3.Today's Date
Date
4.Did staff provide you with a Care Partner Recovery Action Plan book?(Required.)
5.Would you be interested in attending education classes and/or care partner support group?(Required.)
6.Were your questions concerning treatment options or follow-up care addressed?(Required.)
7.How helpful or useful was information about the following:(Required.)
Not Very Helpful
Poor
Fair
Good
Very Helpful
Overview of inpatient hospitalization and outpatient programs
Confidentiality and limits to disclosing information
Sharing useful information about your loved one
Learning about communication strategies
Recognizing the signs of a crisis
Being informed of your loved one’s recovery action plan
5 steps to help in a crisis
How to communicate with first responders
Tips for managing medications
Discussing and documenting follow up care
Self-care strategies for yourself
Financial resources
Community and support resources
8.Were you involved with any treatment, activities or discharge planning?(Required.)
9.Do you feel the CP RAP helped you feel more aware and ready for your loved one’s follow up care plan?(Required.)
10.How aware are you of your loved one’s follow up care plan?(Required.)
11.Do you feel you have a better understanding of the importance of follow up care including therapy, support groups, and other recommended supports?(Required.)
12.Do you feel you have a better understanding of the importance of your loved one adhering to medications?(Required.)
13.Do you feel the Care Partner RAP book was easy to understand?(Required.)
14.How helpful was the Care Partner RAP in providing a better understanding of your loved one’s mental health challenges and needs?(Required.)
15.What suggestions or resources were most helpful in the section on Self-Care?
16.Any further comments or suggestions regarding the Care Partner RAP?
Current Progress,
0 of 16 answered