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Customer Satisfaction Survey
CLINICAL SERVICES (Behavioral, Psychological, OT, PT, etc)
*
1.
What is your relationship with ABA, LLC
(Required.)
I am a client
I am a parent/guardian
I am a case manager
I am a waiver provider
I am a state guardian
Other
Other
2.
I receive the following services from ABA, LLC
Behavioral Supports
Occupational Therapy
Speech Therapy
Physical Therapy
Counseling
Community Access
Community Living Supports (CLS)
Person Centered Coaching
Personal Assistance
3.
My services address the critical areas of concern.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
4.
My services are easy to understand.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
5.
My assessment(s) and intervention plan(s) are easy to understand.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
6.
My services have improved relationships with others.
Strongly Agree
Agree
Neutal
Disagree
Strongly Disagree
7.
My services have helped obtain a better quality of life.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
8.
My services have helped me to enjoy life and the community more.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree