* 1. I have received services

* 2. (For the next two questions, please think about when you first contacted Cumberland Mountain for an appointment.)

The person I talked to on the phone or in person was friendly

* 3. The first appointment I received was as soon as I wanted it.

* 4. Friendliness and helpfulness of the staff when I check in

* 5. The MHSS/MHMS staff helping me is prepared to provide services.

* 6. The attention MHSS/MHMS staff pay to what I have to say is:

* 7. The MHSS/MHMS staff helping me understands my concerns.

* 8. The MHSS/MHMS staff are thorough and competent in helping me deal with my problems

* 9. The staff give me as much information as I need about what I can do to manage my condition

* 10. The MHSS/MHMS staff focus on helping me achieve my goals for my service.

* 11. The MHSS/MHMS staff work as a team player with other professionals to coordinate my care, i.e., doctor, psychiatrist or other community agencies.

* 12. All things considered, how would you rate your overall satisfaction with the service you receive at Cumberland Mountain Community Services?