Client Satisfaction Survey Question Title * 1. Type of Service Utilized: Assessment Only Therapy (in-home/office) Case Management Other (please specify) Question Title * 2. Family Pride staff were prompt and helpful when starting services. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 3. Family Pride staff spent time explaining the agency's services and policies so that my child/I could understand. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not Applicable Question Title * 4. Family Pride staff has included my thoughts and/or my child's thoughts and ideas in the treatment process Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 5. Family Pride staff has been accessible to me and/or my child if needed. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 6. I feel/felt comfortable with my Family Pride worker. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 7. If applicable, Family Pride is responsive to my needs as a parent of a child in services with the agency. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not Applicable Question Title * 8. Family Pride has been supportive of the my needs as a client and/or the needs of my child as a client. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 9. Family Pride services are consistent and helpful. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 10. I would recommend Family Pride to others. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 11. I feel positive about my/my family's progress. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Not applicable Question Title * 12. Overall, how would you rate Family Pride's services? Excellent Good Average Poor Very Poor Question Title * 13. What aspects of services can be improved? Question Title * 14. Other comments/concerns? Question Title * 15. Name for follow-up (if wanted/optional) Question Title * 16. Would you like a copy of the report? Yes No Question Title * 17. If yes, please provide your address: Done