Client Survey : Telehealth 2020

We are interested in your opinion regarding the telehealth (video and/or audio) services we have provided to you over the last 5 months or during the COVID-19 pandemic.

Your Privacy is Protected. Your responses to this survey are also completely confidential and anonymous.

Your Participation is Voluntary. You may choose to answer this survey or not. If you choose not to, this will not affect your services.

Question Title

* 1. What is your age?

8 and under

9 - 17

18 - 35

36 - 59

60 and over

Question Title

* 2. When did you start services at our agency?

Prior to March 15, 2020

March 15, 2020 or after

Question Title

* 3. Since March 15, 2020, have you received video/and or audio (telehealth) sessions from our agency? (If you answered NO, you will jump to the end of the survey, please click NEXT.)

Yes

No, I've only received in-person services.