Preferred Behavioral Health Group Stakeholder Satisfaction Survey

Question Title

* 1. What type of stakeholder are you?

DCP&P Employee

School Counselor/Staff

Police Department

Board of Social Services Employee

PESS Employee

Inpatient Facility

IIC Provider

CMO

Court/Corrections

Primary Care Physician

Health Specialist

Mental Health Provider

Substance Abuse Provider

Landlord

Housing Program

Attorney

Employer

Local Government

Local Department of Health

NJDOH/DMHAS

Youth Serving Organization

Business Owner

Other (please specify)

Question Title

* 2. Which program(s) do you work with? (Select all that apply)

Adult Outpatient

CPSAI

COMPASS- NJ4S Ocean

COMPASS- NJ4S Monmouth

Connect to Home

Employee Assistance Program

Healthy Families

In Home Recovery Program (IHRP)

Integrated Case Management Services

IOTSS

Justice Involved Services

LifeSet

Mobile Response

Partial Care (Interact, Primetime)

Preferred Center for Children and Families (PCCF- Child/Adol OPD)

Prevention First

Project Independence

Residential- Group Homes

Residential- PATH

Residential- Community Support Services (prev. Supp Housing)

SAIL

School Based- Brick Memorial

School Based- Brick Twp.

School Based- Brick Vets

School Based- Lakewood

School Based - Fit to Return

Senior Guidance

Substance Abuse Level 1 (outpatient)

Substance Abuse Level 2.1 (IOP)

Substance Abuse Level 2.5 (DARE)

Substance Abuse STAR Program

Supported Employment

Supported Education (LEARN)

Visitation

Wrap Around

Other (please specify)

Question Title

* 3. Please rate your satisfaction with the following aspects of service:

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied	N/A
Ability to assist you or the person(s) you referred in accessing appropriate services	Ability to assist you or the person(s) you referred in accessing appropriate services Very Dissatisfied	Ability to assist you or the person(s) you referred in accessing appropriate services Dissatisfied	Ability to assist you or the person(s) you referred in accessing appropriate services Neutral	Ability to assist you or the person(s) you referred in accessing appropriate services Satisfied	Ability to assist you or the person(s) you referred in accessing appropriate services Very Satisfied	Ability to assist you or the person(s) you referred in accessing appropriate services N/A
Customer service rendered to you	Customer service rendered to you Very Dissatisfied	Customer service rendered to you Dissatisfied	Customer service rendered to you Neutral	Customer service rendered to you Satisfied	Customer service rendered to you Very Satisfied	Customer service rendered to you N/A
Ability to explain or discuss available programs or services	Ability to explain or discuss available programs or services Very Dissatisfied	Ability to explain or discuss available programs or services Dissatisfied	Ability to explain or discuss available programs or services Neutral	Ability to explain or discuss available programs or services Satisfied	Ability to explain or discuss available programs or services Very Satisfied	Ability to explain or discuss available programs or services N/A
Availability of staff when you called for services	Availability of staff when you called for services Very Dissatisfied	Availability of staff when you called for services Dissatisfied	Availability of staff when you called for services Neutral	Availability of staff when you called for services Satisfied	Availability of staff when you called for services Very Satisfied	Availability of staff when you called for services N/A
Timeliness of response to your call or inquiry for assistance	Timeliness of response to your call or inquiry for assistance Very Dissatisfied	Timeliness of response to your call or inquiry for assistance Dissatisfied	Timeliness of response to your call or inquiry for assistance Neutral	Timeliness of response to your call or inquiry for assistance Satisfied	Timeliness of response to your call or inquiry for assistance Very Satisfied	Timeliness of response to your call or inquiry for assistance N/A
Timeliness of appointment availability	Timeliness of appointment availability Very Dissatisfied	Timeliness of appointment availability Dissatisfied	Timeliness of appointment availability Neutral	Timeliness of appointment availability Satisfied	Timeliness of appointment availability Very Satisfied	Timeliness of appointment availability N/A
Meeting the needs of your consumer	Meeting the needs of your consumer Very Dissatisfied	Meeting the needs of your consumer Dissatisfied	Meeting the needs of your consumer Neutral	Meeting the needs of your consumer Satisfied	Meeting the needs of your consumer Very Satisfied	Meeting the needs of your consumer N/A
Quality of services provided	Quality of services provided Very Dissatisfied	Quality of services provided Dissatisfied	Quality of services provided Neutral	Quality of services provided Satisfied	Quality of services provided Very Satisfied	Quality of services provided N/A
Coordinating care between agencies	Coordinating care between agencies Very Dissatisfied	Coordinating care between agencies Dissatisfied	Coordinating care between agencies Neutral	Coordinating care between agencies Satisfied	Coordinating care between agencies Very Satisfied	Coordinating care between agencies N/A
Overall were you satisfied with the services you received from the agency?	Overall were you satisfied with the services you received from the agency? Very Dissatisfied	Overall were you satisfied with the services you received from the agency? Dissatisfied	Overall were you satisfied with the services you received from the agency? Neutral	Overall were you satisfied with the services you received from the agency? Satisfied	Overall were you satisfied with the services you received from the agency? Very Satisfied	Overall were you satisfied with the services you received from the agency? N/A

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* 4. What has PBHG done particularly well?

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* 5. What suggestions can you make for PBHG to improve services?

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* 6. Additional Comments:

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* 7. OPTIONAL: If you would like to be contacted about your response, please provide your name and contact info below.

Name

Phone #