Ryan Part B 2015-2016 Client Satisfaction Survey
Please answer the following questions about the HIV case management services you’ve received.
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1.
At which one of the following organizations, did you receive case management services in the past 12 months?
(Required.)
Exchange Support Services
Acadiana C.A.R.E.S.
Southwest Louisiana AIDS Council
Central Louisiana AIDS Support Services
The Philadelphia Center
Greater Ouachita Coalition Providing AIDS Resources and Education
Volunteers of America
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2.
In your opinion, did you have too few, just the right number, or too many contacts with your case manager in the past 12 months?
(Required.)
Too few contacts
Just the right number of contacts
Too many contacts
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3.
How often did referrals given to you by your case manager help you meet your needs?
(Required.)
Always
Often
Sometimes
Never
N\A-Not Applicable
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4.
Has your case manager...
(Required.)
Yes, a great deal
Yes, somewhat
No, not really
Not applicable-I did not need the help
Helped you deal more effectively with your problems?
Yes, a great deal
Yes, somewhat
No, not really
Not applicable-I did not need the help
Helped you apply for health insurance?
Yes, a great deal
Yes, somewhat
No, not really
Not applicable-I did not need the help
Encouraged you to stay on your HIV medications?
Yes, a great deal
Yes, somewhat
No, not really
Not applicable-I did not need the help
Listened carefully to your concerns?
Yes, a great deal
Yes, somewhat
No, not really
Not applicable-I did not need the help
Encouraged you to take control of your health?
Yes, a great deal
Yes, somewhat
No, not really
Not applicable-I did not need the help
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5.
In the following table, please let us know how satisfied you are with the services you received in the past 12 months
(Required.)
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not applicable-Did not receive service
Transportation services
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not applicable-Did not receive service
Food bank services
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not applicable-Did not receive service
Housing assistance
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not applicable-Did not receive service
Insurance purchasing assistance from LaHAP
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not applicable-Did not receive service
Medication assistance
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Not applicable-Did not receive service
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6.
Overall, how would you rate the quality of case management services you have received?
(Required.)
Excellent
Good
Fair
Poor
7.
In your opinion, what one thing would most improve case management services?
8.
Do you have any other comments about case management services?