Camelot Discharge Survey

Question Title

* 1. Program client was authorized for:

Behavioral Health (Outpatient therapy/CCFT)

Therapeutic Foster Care

Family Preservation Services

THL

DPA (services funded by DCS)

Question Title

* 2. Did Camelot help improve the behaviors leading to admission to our program?

Yes

If not, what could we have done differently?

Question Title

* 3. Did you agree with the treatment/service goals?

Yes

If not, please explain?

Question Title

* 4. Were there services you requested that you did not receive?

Yes

If not, please explain?

Question Title

* 5. Do you think the Camelot Counselor/Therapist responded to your needs when you contacted him/her?

Yes

Not Applicable

If not, please explain?

Question Title

* 6. Do you think the Camelot Counselor/Therapist spent enough time with your family or with you?

Yes

Not Applicable

If not, please explain?

Question Title

* 7. Did you have a good working relationship with the Camelot Counselor/Therapist?

Yes

Not Applicable

If not, please explain?

Question Title

* 8. Was the Camelot Counselor/Therapist supportive for you and your family?

Yes

Not Applicable

If not, please explain?

Camelot Discharge Survey

Question Title

* 1. Program client was authorized for:

Question Title

* 2. Did Camelot help improve the behaviors leading to admission to our program?

Question Title

* 3. Did you agree with the treatment/service goals?

Question Title

* 4. Were there services you requested that you did not receive?

Question Title

* 5. Do you think the Camelot Counselor/Therapist responded to your needs when you contacted him/her?

Question Title

* 6. Do you think the Camelot Counselor/Therapist spent enough time with your family or with you?

Question Title

* 7. Did you have a good working relationship with the Camelot Counselor/Therapist?

Question Title

* 8. Was the Camelot Counselor/Therapist supportive for you and your family?

Question Title

* 9. Additional Comments: