Main Line Therapy Solutions Referrals & Initial Appointments

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* 1. Were / are your voicemail messages answered / returned in a timely fashion?

Yes

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* 2. Have you left a message that was not returned?

Yes

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* 3. Do you feel you were / are treated with patience and respect?

Always

Usually

Sometimes

Rarely

Never

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* 4. Do you feel your questions and/or concerns were / are adequately addressed and answered?

Always

Usually

Sometimes

Rarely

Never

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* 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)

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* 6. Were / are you offered an appointment within 24 hours for urgent or emergency situations?

Yes

N/A

Other (please specify)

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* 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

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* 8. If MLTS was only able to accept co-pays by Cash or Check, would you stop coming to MLTS for services?

Yes

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* 9. Do you have any suggestions on how we can make MLTS more client friendly?

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* 10. Would you like to be contacted by one of our administrative staff regarding any of your responses?

Yes

If yes, how should we contact you?