United Counseling Service Client Satisfaction Survey CYFS
Children, Youth and Family Services
1.
I/We received services in
Bennington
Manchester
2.
I/We received services that were right for us.
Strongly agree
Agree
Mixed
Disagree
Strongly Disagree
Strongly agree
Agree
Mixed
Disagree
Strongly Disagree
Please tell us more.
3.
I/We received services that we needed.
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Please tell us more.
4.
Staff treated me/us with respect.
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Please tell us more.
5.
The services I/we received made a difference.
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Please tell us more.
6.
My quality of life improved as a result of the services I/we received.
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Please tell us more.
7.
I would recommend UCS to a friend or family.
10- Extremely Likely
9
8
7
6
5- Neutral
4
3
2
1
0- Not all likely
10- Extremely Likely
9
8
7
6
5- Neutral
4
3
2
1
0- Not all likely
Please tell us more.
8.
Did you feel like your personal identity/culture was/is valued?
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Strongly agree
Agree
Mixed
Disagree
Strongly disagree
Please tell us more.
9.
Billing and Payments (You may choose as many as apply)
I received clear communication regarding payment responsibilities.
Information about financial assistance was available.
Billing statements were provided in a timely manner.
My questions about billing and payment were answered clearly and respectfully.
Information about payment arrangements was provided.
Not applicable
Please tell us more.
10.
We strive to meet your needs. Do you have any recommendations on how we could improve your overall experience with UCS? (You may choose as many as apply.)
Increase hours of operations to include evenings and weekends.
Provide follow up phone calls in a timely manner.
Improved communication
Provide additional services.
None
Other
11.
If you had a chance to say one thing to our Executive Director, Lorna Mattern, what would it be?
