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CBS Client Satisfaction Survey 2022
1.
Please choose your location
Atchison
Oskaloosa
Leavenworth
2.
Services which this feedback addresses: (choose all that apply)
Case Management
Parent Support
Respite
Medication Services
TARGET
JDLA
Psychosocial Group
Atchison Academy
Attendant Care
Crisis Services
3.
I think my child is making progress in treatment
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
4.
I have a say in my child’s treatment plan
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
5.
My child’s providers pay attention to my child’s needs
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Other (please specify)
6.
My child’s workers communicate with me about my child
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Other (please specify)
7.
Overall, I am satisfied with my child’s treatment at the Center
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Other (please specify)
8.
My child is doing better as a result of services from the Center
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Other (please specify)
9.
My child’s appointment times fit his/her schedule
Always
Usually
Sometimes
Rarely
Never
Other (please specify)
10.
If you participated in Telehealth services, how satisfied were you?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
I did not participate in Telehealth Services
Other (please specify)
11.
I would rate the overall quality of my care as
Above average
Average
Below average
12.
Name of your Guidance Center treatment provider (optional)
13.
Your name (optional)
*
14.
Please explain your responses and/or comment on your overall experience at TGC.
(Required.)