Aspen Satisfaction Survey
Treatment Satisfaction
Rate the care from Aspen Day Treatment
*
1.
How long (in months) have you been treated at Aspen Day Treatment
(Required.)
*
2.
After your initial call for an appointment, did you receive prompt treatment
(Required.)
Yes
No
*
3.
Have you been treated respectfully by the front desk staff, making and changing appointments, and checking in and out for your appointment
(Required.)
Yes
No
*
4.
Do you feel your therapist has been helpful, supportive, and concerned for your care
(Required.)
Yes
No
I dont have a therapist
*
5.
Do you feel your prescriber has an understanding of your needs and listens to your concerns
(Required.)
Yes
No
I dont have a prescriber
6.
Has your treatment been beneficial to your condition
Yes
No
No differences
7.
Were you asked about your needs and treatment goals?
Yes
No
Other (please specify)
8.
Were your treatment goals met?
Yes
No
Other (please specify)
9.
What is your opinion how Aspen Day Treatment can improve the safety of the care, treatment, or services provided?
