Agency Satisfaction Survey

Please circle your choice from the answers below each question:

I am able to contact/reach a staff member when I feel I need to.

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* 1. I am able to contact/reach a staff member when I feel I need to.

I feel I have made progress/improved my life by following my treatment plan.

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* 2. I feel I have made progress/improved my life by following my treatment plan.

I feel that staff members perform their jobs professionally.

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* 3. I feel that staff members perform their jobs professionally.

The complaints/grievances process has been explained to me, and I know how to contact the Client Rights Advocate.

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* 4. The complaints/grievances process has been explained to me, and I know how to contact the Client Rights Advocate.

CSS Staff seem to believe in recovery and encourage me to learn, grow and change - helping me to move toward recovery.

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* 5. CSS Staff seem to believe in recovery and encourage me to learn, grow and change - helping me to move toward recovery.

I am able to get to and from the agency easily.

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* 6. I am able to get to and from the agency easily.

Please list any additional comments below:

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* 7. Please list any additional comments below:

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