Survey Group Three
Strategic Planning Questions

The State of Idaho has engaged MTM Services, a national consulting firm, to assess information to help in the preparation of a strategic plan. We’d like you to please take a few minutes to tell us about your experience with your local community mental health or substance abuse provider by completing this brief referral source satisfaction survey. It asks you to evaluate your recent experience with us. You can tell us what we did right, and what we can do better.

Your opinion is very important to us, and your comments will be carefully considered.

Please know that the survey is perfectly voluntary and completely confidential. After we review your answers and comments, they will become part of our efforts to improve the services we provide and will be added to our other surveys to improve patient satisfaction.

 Thank you for contributing to our efforts to provide better services.  Your thoughts, experiences and suggestions will be a valuable part of the on-going efforts to provide consumer-centered, cost-effective, accessible and quality services.   Please check the appropriate response for each of the survey questions.

 The State of Idaho thanks you for your contribution to this important work.

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* 1. Using the map above as your guide, what specific region or location are you reporting from?

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* 2. Which of these categories best describes you.

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* 3. I primarily receive:

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