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Main Line Therapy Solutions Referrals & Initial Appointments
1.
Were / are your voicemail messages answered / returned in a timely fashion?
Yes
No
2.
Have you left a message that was not returned?
Yes
No
3.
Do you feel you were / are treated with patience and respect?
Always
Usually
Sometimes
Rarely
Never
4.
Do you feel your questions and/or concerns were / are adequately addressed and answered?
Always
Usually
Sometimes
Rarely
Never
5.
How long did you wait to be assigned a therapist for a non-crisis situation?
one to three days
one week or less
one to two weeks
over two weeks
over a month
Other (please specify)
6.
Were / are you offered an appointment within 24 hours for urgent or emergency situations?
Yes
No
N/A
Other (please specify)
7.
Once assigned a clinician, how long did it take for the clinician or office manager to call and schedule your appointment?
A great deal of time (over 5 days)
A lot of time (over 3 days)
A moderate amount (2 day)
A little (1 day)
Never heard back
8.
If MLTS was only able to accept co-pays by Cash or Check, would you stop coming to MLTS for services?
Yes
No
9.
Do you have any suggestions on how we can make MLTS more client friendly?
10.
Would you like to be contacted by one of our administrative staff regarding any of your responses?
Yes
No
If yes, how should we contact you?
Current Progress,
0 of 10 answered
