Thank you for allowing SPARC to provide you/your family with services. Our goal is to ensure we are providing the highest quality services possible. This survey is a snapshot of the services you are currently receiving. Your feedback is extremely valuable to us in ensuring we are doing our very best to meet your needs.    Thank you in advance for your time and participation. 

Your responses will in no way jeopardize your services with SPARC. We want and need your honesty. 

Your assigned staff will not know your specific answers. We will only provide summary responses to our staff. 

Please don't include any identifying information (name, DOB, etc) so that the survey remains confidential 

Question Title

* 1. Please let us know what service you receive from us

Question Title

* 2. Please let us know the name(s) of the SPARC staff that work with you/your family (OPTIONAL) 

Question Title

* 3. Please rate the below statements on a scale of Never to Always. Please add any additional feedback in the comment box below

  Never  Almost Never Occasionally Most of the Time  Always 
Spends time to get to know me/my family and what is important to me/my family
Is able to schedule times to see me that are convenient for me/my family 
Is available for me to speak with if I have concerns/needs/questions in between our scheduled times
Allows me time to provide feedback of what is working and what is not working 
Honors my/my families cultural beliefs and values
Validates and affirms my experiences in a culturally responsive manner
Is on time for our sessions/or informs me if they are running late
Is working on the goals that are important to me/my family

Question Title

* 4. Please check all of the areas your SPARC Staff has supported you in. Check all that apply

Question Title

* 5. I feel that my services with SPARC has improved my/my families life

Question Title

* 6. Please rate your experience as it relates to your access to receiving services with us

  Strongly Disagree Disagree Neutral Agree  Strongly Agree 
I felt like the timeline from my referral to being contacted for an appointment and scheduled for an assessment met my needs.
I felt like the staff kept me updated on the status of my referral and was available for questions I may have had

Question Title

* 7. Please share your experience with using telephonic and video based services and support

  Strongly Disagree Disagree  Neutral Agree  Strongly Agree N/A
I have  access to my SPARC Staff via the phone
I have access to my SPARC Staff via a video platform (Microsoft TEAMS, FaceTime, Zoom, etc)
I like "meeting" with my SPARC Staff via the phone/video system
I have the access to technology I need to "meet" with my SPARC Staff via phone/video
I understand how to use technology to access my staff

Question Title

* 8. General Comments of Satisfaction or Areas of Improvement 

0 of 8 answered
 

T