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Experience Survey
1.
In which county do you reside?
Boone
Cabell
Clay
Kanawha
Lincoln
Logan
Mason
Putnam
Wayne
Other (please specify)
2.
In what service area?
ACT
Administrative Services
Children
Crisis
IDD
Mental Health Residential
Prevention
Primary Care
Outpatient
Outreach/CES/Homeless
SUD Residential
Other (please specify)
Effectiveness:
3.
Do you believe the services provided have helped you achieve your personal goals?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Access:
4.
Were you able to access services when you needed them?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Efficiency:
5.
Were your scheduled services provided on time?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Person-Centered Care:
6.
Were you involved with decisions regarding your care?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
7.
Were financial arrangements explained to you?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Satisfaction & Respect:
8.
Were you treated with respect and dignity?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
9.
Was the facility clean?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
10.
Would you recommend Prestera Health Services to someone seeking services?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
11.
Is there a staff member(s) whom you would like to see recognized or thanked for the care they provided?
12.
Do you have any feedback or suggestions on how we could improve our services?