SurveyMonkey Powered Online Survey

Thank you for completing Directions' Annual Satisfaction Survey, sponsored by the Client Advisory Board. Your feedback is important to us.

Your responses are confidential.

Please answer a few questions about you.

Question Title

I came to Directions for Mental Health for care because:
Check all that apply

I needed the type of care this center provides

My insurance referred me

My doctor referred me here

I live close by

I found you on the internet

It's convenient

I was court ordered

It was recommended to me by a friend/relative

It's affordable

For a specific service

Please specify any other specific service

Question Title

What is your Gender?

Male

Female

Question Title

What is your race?

White

Black / African-American

American Indian / Native American

Asian Indian

Chinese

Filipino

Other Asian

Japanese

Korean

Vietnamese

Native Hawaiian

Guamanian / Chamorro

Samoan

Other Pacific Islander

Hispanic

Latino

Spanish

Cuban

Other

Question Title

What is your age?

18-22

23-25

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31-35

36-40

41-45

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51-55

56-60

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66-70

71-75

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81-85

86-90

91 or older

I prefer not to answer this question

Question Title

What is your home zip code?

33523

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34698

Other zip code

I prefer not to answer this question

Enter zip code client specified

Question Title

Do you have insurance?

Yes

I prefer not to answer.

Question Title

I came to Directions for Mental Health for care because:Check all that apply

Question Title

What is your Gender?

Question Title

What is your race?

Question Title

What is your age?

Question Title

What is your home zip code?

Question Title

Do you have insurance?

I came to Directions for Mental Health for care because:
Check all that apply