1.How long have you received services from LBH?

less than 6 months

6 months - 1 year

1-2 years

More than 2 years

2.Which clinician(s) do you receive services from?

3.Do you feel that the services you receive adequately address your mental health concerns.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

4.Has the process to file a complaint with LBH been explained to my understanding?

Yes

No

5.I have made progress towards my treatment goals?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

6.Would you recommend LBH to others?

Yes

No

7.If you would not recommend LBH, check all that apply.

My clinician did not adequately address my overall concerns to my satisfaction.

I felt my clinician did not listen to me.

I did not feel supported by my clinician.

My concerns where not addressed within an acceptable timeframe

NA

Other (please specify)

8.How satisfied were you with the administration's handling of your concerns?

Very satisfied

Satisfied

Dissatisfied

Very dissatisfied

NA

9.When you initiated services with LBH, what level of symptoms did you experience? Enter 1 through 5, with 5 being the highest level of symptoms.

1

2

3

4

5

10.At this point in your services, how would you rate your symptoms? Enter 1 through 5, with 5 being the highest level of symptoms.

1

2

3

4

5