Behavioral Health Consumer Satisfaction Survey FY20

Please help us serve you better by completing this short survey!

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* 1. What programs/services are you involved in at Transitions? (Choose all that apply)

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* 2. Please rate the following:

  Poor Fair Good Very Good Excellent
Accessibility, cleanliness, and comfort of facilities
Wait time until first appointment
Helpfulness and friendliness of agency staff members

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* 3. Please rate the following:

  Poor Fair Good Very Good Excellent
The degree to which treatment helped you to deal with your problem/complaint
The degree to which services have supported your efforts to become more self-sufficient
Overall quality of care and services

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* 4. Please rate your agreement to the statement "I would recommend Transitions of Western Illinois to a friend".

Please finish survey on back of this page

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* 5. Please rate your agreement with the statement "I am satisfied with the services that I receive from Transitions of Western Illinois."

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* 6. Please rate Transitions' cultural sensitivity.

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* 7. How could Transitions' cultural sensitivity be improved?

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* 8. Other Comments/How could Transitions of Western Illinois' services be improved?

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* 9. We like to recognize our employees. Who did an excellent job with you or who would you like to recognize?

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