Thank you for taking the time to provide feedback. Your responses will assist in improving our services. 
 

Question Title

1. I am a (please select one option from the dropdown)

Question Title

2. When your student/child was admitted to the program were you contacted and given information regarding the specifics of the program?

Question Title

3. Were you included in the process of treatment planning and was/is the plan based upon your goals and your student's/child's goals?

Question Title

4. Did/do you feel your student/child was/is safe in the program?

Question Title

5. Did/are you and your student/child receive/receiving the services that you expected?

Question Title

6. Were you welcomed into the program and treated respectfully when calling or visiting your student/child?

Question Title

7. How accessible were/are staff members to addressing questions or concerns?

Question Title

8. How satisfied were/are you with how your questions and concerns were/are addressed? 

Question Title

9. Was/is there a specific staff member that you consider a reliable contact at the site? If so, please add their name here.

Question Title

10. Did you see positive changes in your student/child while in the program?

Question Title

11. Would you recommend this program to others?

Question Title

12. Additional comments....

T