BEHAVIORAL HEALTH CLINIC SURVEY Question Title * 1. How many stars would you use to rate this clinic where "one" star is the worst possible experience and "ten" stars is the best possible experience? Worst possible Best possible Worst possible Best possible Question Title * 2. Please rate the Office and Support Staff at Behavioral Health with the answer that best describes your experience. If a question does not apply to you, please choose Not Applicable. Always Usually Sometimes Rarely Never Not Applicable Friendly Friendly Always Friendly Usually Friendly Sometimes Friendly Rarely Friendly Never Friendly Not Applicable Professional Professional Always Professional Usually Professional Sometimes Professional Rarely Professional Never Professional Not Applicable Respectful Respectful Always Respectful Usually Respectful Sometimes Respectful Rarely Respectful Never Respectful Not Applicable Knowledgeable Knowledgeable Always Knowledgeable Usually Knowledgeable Sometimes Knowledgeable Rarely Knowledgeable Never Knowledgeable Not Applicable Timely Timely Always Timely Usually Timely Sometimes Timely Rarely Timely Never Timely Not Applicable Question Title * 3. Please rate the Clinical Provider at Behavioral Health with the answer that best describes your experience. If a question does not apply to you, please choose Not Applicable. Always Usually Sometimes Rarely Never Not Applicable Friendly Friendly Always Friendly Usually Friendly Sometimes Friendly Rarely Friendly Never Friendly Not Applicable Professional Professional Always Professional Usually Professional Sometimes Professional Rarely Professional Never Professional Not Applicable Respectful Respectful Always Respectful Usually Respectful Sometimes Respectful Rarely Respectful Never Respectful Not Applicable Knowledgeable Knowledgeable Always Knowledgeable Usually Knowledgeable Sometimes Knowledgeable Rarely Knowledgeable Never Knowledgeable Not Applicable Timely Timely Always Timely Usually Timely Sometimes Timely Rarely Timely Never Timely Not Applicable Question Title * 4. Please rate the Behavioral Health Facility. Choose the answer that best describes your experience. If a question does not apply to you, please choose Not Applicable. Always Usually Sometimes Rarely Never Not Applicable Cleanliness Cleanliness Always Cleanliness Usually Cleanliness Sometimes Cleanliness Rarely Cleanliness Never Cleanliness Not Applicable Privacy Privacy Always Privacy Usually Privacy Sometimes Privacy Rarely Privacy Never Privacy Not Applicable Comfort Comfort Always Comfort Usually Comfort Sometimes Comfort Rarely Comfort Never Comfort Not Applicable Appearance Appearance Always Appearance Usually Appearance Sometimes Appearance Rarely Appearance Never Appearance Not Applicable Safety Safety Always Safety Usually Safety Sometimes Safety Rarely Safety Never Safety Not Applicable Question Title * 5. What has been positive about your time spent in our department? Question Title * 6. How can we make your experience better in the future? Done
