CLIENT SATISFACTION QUESTIONNAIRE
Crisis Program
FY 26

Question Title

* 1. Do you feel your request for crisis services was taken seriously?

Yes, definitely

Yes, generally

No, not really

No, definitely not

Question Title

* 2. Did you feel the crisis team was respectful?

Yes, definitely

Yes, generally

No, not really

No, definitely not

Question Title

* 3. Did you meet with someone within an hour of requesting crisis services?

Yes, definitely

Yes, generally

No, not really

No, definitely not

Question Title

* 4. Was your experience during the crisis with IHR staff sufficient to your needs?

Yes, definitely

Yes, generally

No, not really

No, definitely not

Question Title

* 5. Were you happy with the next steps to take after your encounter with the crisis team?

Yes, definitely

Yes, generally

No, not really

No, definitely not

Question Title

* 6. COMMENTS/TESTIMONIALS:

Can we use your comments/testimonials?

First Name (Optional) ____________________