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Consumer Satisfaction Survey
2.
Welcome to Family Psychological Associates Consumer Satisfaction Survey!
Thank you for participating in our survey. Your feedback is important to us! :)
*
1.
Please indicate the program or programs in which you are participating - Check all that apply
(Required.)
Blended Case Management
Peer Support Services
IBHS
Family Based Therapy
Outpatient Therapy
Medication Management
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2.
Please indicate the
location
of the program(s) in which you are participating.
(Required.)
Armstrong
Butler
Clarion
Indiana
3.
The purpose and goals of the program were explained to me at the time of admission and continue to be explained to me as needed.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
4.
My rights and responsibilities were explained to me at the time of admission and continue to be explained as needed.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
5.
I know how to file a compliant or grievance.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
6.
I have direct input in my goal planning and crisis planning.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
7.
I am treated with respect by staff.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
8.
The staff is professional, competent, and provide me with good quality services.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
9.
My confidentiality is protected.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
10.
I can trust the staff and be honest about myself and my issues.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
11.
I am aware of all of the services that are available through Family Psychological Associates.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
12.
Staff assisted me with coordinating with other agencies and professional, as well as, community resources, activities and other natural supports available.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
13.
I use the knowledge I gained from services.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
14.
Appointments were scheduled in a timely manner.
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments
15.
The staff members worked as a team to coordinate my care
(Answer only if you receive
more than one mental health service
through Family Psychological Associates
)
Strongly Disagree
1 star
Disagree
2 stars
Unsure
3 stars
Agree
4 stars
Strongly Agree
5 stars
Comments