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Satisfaction Survey for Community Crisis Response Services

Your Support Services Network is committed to providing the highest possible quality of care to our clients. In order to help us do that, we are asking you to complete this brief survey about your experiences with our Crisis Response Services so we can continue to do what we do well and to make improvements where needed.

Your name will not appear anywhere on the survey, and your answers are completely anonymous and confidential.

The survey will take between 5 and 10 minutes of your time. For each item, check the box that most accurately reflects your experience. Please answer all questions, based on recent experiences.

Thank you very much; we really appreciate your help.
1.How would you rate the quality of services your received?
Excellent
Good
Fair
Poor
2.Did you receive enough help from us?
No, not at all
No, not really
Yes, generally
Yes, definitely
3.Have the services you received helped you deal more effectively with your concerns/problems?
Yes, they helped a great deal
Yes, they helped somewhat
No, they really did not help
No, they seemed to make things worse
4.In overall, general sense, how satisfied are you with the service you have received?
Very satisfied
Mostly satisfied
Indifferent or mildly dissatisfied
Quite dissatisfied
5.If a friend has similar needs to yours, would you recommend our service?
Yes, definitely
Yes, generally
No, not really
No, not at all
6.If you were to seek help again, would you utilize our service again?
No, not at all
No, not really
Yes, I think so
Yes, definitely
7.Were you provided resources related to your current concerns?
8.What else would you like us to know to better meet you and the community's needs?