Consumer Satisfaction Survey Question Title * 1. Please select which service you receive. If you receive more than one service you willhave the opportunity to respond to that service later. Intensive In-Home Day Treatment Out Patient Services Question Title * 2. I feel like I have someone to talk to when I am troubled. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 3. I feel respected by the staff that works with me. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 4. I feel comfortable asking questions about my treatment. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 5. Overall, I am satisfied with the services that I receive from Gaston Adolescent Center. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 6. It is easy for me to access emergency after hours services if I need them. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 7. I feel like I can voice my concern or complain if I need to without fear. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 8. I feel like Gaston Adolescent Center and its Staff respect my privacy. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 9. Gaston Adolescent Center Staff helps me make progress towards my goal. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 10. Staff encourage me to take responsibility of my actions. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 11. My relationships with friends and family members have improved since I have started services. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 12. My worker explains things to me in a way that I understand. Strongly disagree Disagree Undecided Agree Strongly agree Question Title * 13. Staff come to visits on time? Yes, definitely Yes, somewhat No Next