CLIENT SATISFACTION SURVEY

We are committed to offering the best services possible. In order to evaluate our services we need your help by taking a few minutes to answer the following questions and giving us any comments about your experience with us.

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* 3. I AM:

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* 4. HOW DID YOU HAPPEN TO COME TO HORIZONS:

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* 5. RECEIVING SERVICES FOR HOW LONG:

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* 6. RECEIVED SERVICES AT:

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* 7. YOUR APPOINTMENTS

  Stongly Agree Agree Neutral Poor Very Poor Does Not Apply
in last 6 months
Received your first appointment within a reasonable amount of time
Follow up appointments were easy to make
Appointments available at a convenient time

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* 8. THE COURTESY & HELPFULNESS OF OUR STAFF

  Excellent Very Good Good Fair Poor Does Not Apply
in last 6 months
The person who took your call
The person who checked you in or assisted with paperwork
The person who assisted you with billing or insurance
The person who helped you with Releases of Information

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* 9. OUR COMMUNICATION WITH YOU

  Stongly Agree Agree Neutral Poor Very Poor Does Not Apply
in last 6 months
Your phone calls answered promptly
You were able to get advice or help when needed, during office hours
Your calls were returned in a timely manner
You were able to get help if you had an emergency at night or on the weekends

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* 10. YOUR VISIT WITH THE PROVIDER

  Strongly Agree Agree Neutral Disagree Strongly Disagree Does Not Apply
They were willing to listen carefully to your opinions and ideas
Explained things in a way you could understand
Involved you in developing a meaningful treatment plan and goals
Took the time to answer your questions
Took an adequate amount of time with you

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* 11. OUR FACILITY

  Strongly Agree Agree Neutral Disagree Strongly Disagree Does Not Apply
Location is easily accessible
Adequate parking
Hours of operation convenient for you
Horizons has been a comfortable place to receive services

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* 12. YOUR OVERALL SATISFACTION

  Excellent Very Good Good Fair Poor
Core Values are the foundation of who we are and what we strive to be. How did our staff do in following our Core Values:
Integrity - Compassion - Accountability - Respect - Excellence
Overall quality of care and services
Degree to which treatment helped you deal with your problem/ complaint
Degree to which services have supported my efforts to become more self-sufficient

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* 13. WOULD YOU RECOMMEND OUR SERVICES TO OTHERS?

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* 14. COMMENTS YOU WOULD LIKE TO PROVIDE US ABOUT YOUR SERVICES:

Thank you for taking time to provide us with feedback regarding how Horizons Mental Health Center is meeting your needs.

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