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Stakeholder Satisfaction Survey for Level III Residential Group Home Facility
1.
How satisfied are you with the overall treatment services provided by our facility?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
2.
How satisfied are you with the intake process at our facility?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
3.
How satisfied are you with the discharge process at our facility?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
4.
How satisfied are you with your level of involvement in your child’s treatment planning and goal-setting?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
5.
Do you feel that your child’s treatment plan reflects his individual strengths, needs, and goals?
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
6.
How effective is the communication between the facility staff and you regarding your child’s progress?
Very Effective
Effective
Neutral
Ineffective
Very Ineffective
7.
How well does the program encourage you to participate in your child’s care (updates, input, meetings, etc.)?
Very Well
Well
Neutral
Poorly
Very Poorly
8.
Do you believe your child is receiving adequate support for emotional, social, and behavioral challenges?
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
9.
How satisfied are you with the overall care provided to your child at our facility?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
10.
Please provide any additional comments or suggestions you have regarding our facility's services.