In order to improve our services, we would like to know what you think about Community Support Services.

Your opinions about the agency, the services, the people who provide them, and the effectiveness of the treatment will be kept completely confidential.

* Select the circle that best represents your level of agreement or disagreement with each of the following statements.

If the statement is about something you have not experienced, indicate the item is not applicable by choosing "NA".

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
Agency staff help me to obtain the information I need in order to manage my family member's illness.
Agency staff seem to believe in recovery and encourage me to learn, grow and change - helping me to move my loved one toward recovery.
Medications, potential side effects and the planned course of treatment have been explained to me.
My family member has progressed/improved by following his or her Treatment Plan.
Agency staff encourage me to become/stay involved in my family member's treatment and have directed me away from "enabling" behaviors.
Agency staff respect my relationship with my family member/significant other and seriously consider my concerns and wishes.
Agency staff seem competent and knowledgeable about mental health issues and concerns.
The agency has fulfilled most of my family's treatment/service needs.
Overall, I feel Community Support Services provides high quality mental health services.
I am able to speak with an agency staff member within a reasonable amount of time when I have concerns or questions.
I am satisfied with my level of involvement in my family member's recovery plan and treatment.
I would recommend Community Support Services to a friend or family member.

* My level of involvement is:

* What do you like best about Community Support Services?

* What would you change about Community Support Services to make it better?

* Additional Comments: