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.)
2.Please indicate the location of the program(s) in which you are participating.(Required.)
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
Disagree
Unsure
Agree
Strongly Agree
4.My rights and responsibilities were explained to me at the time of admission and continue to be explained as needed.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
5.I know how to file a compliant or grievance.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
6.I have direct input in my goal planning and crisis planning.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
7.I am treated with respect by staff.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
8.The staff is professional, competent, and provide me with good quality services.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
9.My confidentiality is protected.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
10.I can trust the staff and be honest about myself and my issues.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
11.I am aware of all of the services that are available through Family Psychological Associates.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
12.Staff assisted me with coordinating with other agencies and professional, as well as, community resources, activities and other natural supports available.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
13.I use the knowledge I gained from services.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
14.Appointments were scheduled in a timely manner.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
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
Disagree
Unsure
Agree
Strongly Agree