Thank you for helping CCMH improve our services with your feedback! Please check the answer that best describes your overall experience. This survey is anonymous and your answers will not impact your treatment or ability to receive services in any way.

If you would like to send additional feedback and/or request a meeting to address your concerns, please email contactccmh@ccmh1.com

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* 1. Getting started in services was a smooth and comfortable process for me:

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* 2. I know who my assigned staff member is and how to reach them:

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* 3. The services I receive through CCMH are helpful and meet my needs:

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* 4. Staff members respond back in a timely and helpful manner:

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* 5. Staff treat me with kindness, dignity and respect:

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* 6. CCMH facilities feel comfortable, safe, and inviting:

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* 7. If I am not satisfied with services, I know how to file a complaint:

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* 8. Please list your top 3 needs (services that would improve the quality of your life), #1 being most important:

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* 9. Other comments:

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