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Satisfaction Survey
1.
With which New Horizons site do you interact? If both, you may check both.
Jefferson City/Cole County
Columbia/Boone County
2.
Select the answer that best describes your affiliation with New Horizons.
Consumer
Family Member or Support Person of a Consumer
Regulator
Referral Source
Personnel
Advocacy Group Member
Contributor/Supporter
Landlord
Business Affiliate
Community Member
Other
3.
Please rate your agreement with this statement: New Horizons is achieving its mission. (Our mission: We offer hope, kindness, and respect while providing best-practice intervention to support overall wellness in those who live with behavioral health disorders.)
Strongly Agree
Agree
Disagree
Strongly Disagree
4.
Please rate your agreement with this statement: New Horizons' staff interact with me in a professional manner, e.g., return my calls/emails promptly; are prepared for appointments; inform me of their role and how they can help.
Strongly Agree
Agree
Disagree
Strongly Disagree
5.
Please rate your agreement with this statement: New Horizons' staff treat their consumers with respect and dignity.
Strongly Agree
Agree
Disagree
Strongly Disagree
6.
Please rate your agreement with this statement: New Horizons' staff promote consumer independence.
Strongly Agree
Agree
Disagree
Strongly Disagree
7.
6. Please rate your agreement with this statement: New Horizons utilizes a variety of technology resources to effectively provide services, file claims, enhance services, offer a variety of service provision options (i.e. telehealth by phone and video), etc.
Strongly Agree
Agree
Disagree
Strongly Disagree
8.
Getting into case management services (excluding residential placement) at New horizons…
Seems to take a reasonable amount of time
Could happen more quickly
Takes way too long
9.
Overall, how satisfied are you with New Horizons services?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
10.
Have you experienced or are aware of consumers experiencing any accessibility barriers (i.e. language, physical, etc.) related to New Horizons’ services? If so, please describe:
11.
If there is anything you would like to comment on, please do so. If you are dissatisfied in any way, we would like to know so we can address your concern.
12.
If you would like to be contacted about your survey, please provide your contact information below:
Name
Company
Email Address
Phone Number