Consumer Satisfaction Survey, Website 2018

1.Please check off if you were the person whom received services or the guardian/caretaker of the person.

Parent/Guardian/Caretaker

Person whom received services

2.Which agency program(s) are you or your child currently in and/or were in (check off all that apply):

4.Information about the program/services was explained in a way that was easy to understand?

Yes

No

5.I knew who to go to if I had a complaint?

Yes

No

6.Agency staff treated me/us with respect?

7.Agency staff appeared to appreciate my/our cultural-ethnic background?

8.Agency staff appeared to appreciate my/my child's identity including, as applicable, sexual identity/orientation?

9.I helped choose my or my child/youth's treatment goals?

10.The location of services is easy to get to?

11.The program services are physically accessible?

12.The program services are/were available at times that were easy for me to attend or participate?

13.Overall, I am satisfied with the services provided/received?

14.Services helped me and/or my child more effectively manage concerns or issues.

15.Do you feel you have the necessary resources and/or supports currently to maintain the gains you or your child achieved?

Yes

No

If you answered no to the above question, please feel free to call 909-596-5921, extension 3511 or 3500 for assistance.

16.If you were in either the residential, THP Plus/THP Plus F/C, or Foster Care program; after leaving the program did you go to live at the setting of your choice?

Yes

No

Not applicable, still in the program

17.In what way did services help you/your child?

18.Is there anything the agency can do to make it easier for you to access or use our services?

19.Based on your experience, how can we improve the services provided by David & Margaret?

20.Please share any additional comments or suggestions here?