Frontline Care Center - Client Discharge and Satisfaction Survey

Thank you for taking the time to complete this 5-minute, anonymous survey on your experience. It is important for the Frontline Care Center to continually build on what is working and make improvements when needed. Please answer the following questions:

Question Title

1. What service(s) did you participate in? Please select all that apply.
If your service is not listed, please select "Other" and describe the service you received. (Required.)

Individual Sessions

Group Sessions

Couples Sessions

Family Sessions

Biosound Therapy (biosound feedback bed)

Other (please include the service(s) you received below)

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2. How would you rate the improvement in your behavioral health symptoms since receiving treatment? (Required.)

Significant improvement

Moderate improvement

Slight improvement

No improvement

Worsened

If "No Improvement" or "Worsened," please explain:

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3. Did you learn new information about your symptoms and the best coping skills to use for symptom management? (Required.)

Yes

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4. How confident do you feel in being able to manage a future mental health crisis or overwhelming symptoms? (Required.)

Very confident

Confident

Somewhat confident

Not confident

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5. During treatment, did you engage in referral services? (Please select all that apply) (Required.)

Yes, additional services offered by the Frontline Care Center (e.g. support groups, additional activities, peer services, etc.).

Yes, external services provided by Nicasa Behavioral Health Services.

Yes, external services in the community (e.g. physical health care, housing, food, financial assistance, legal, immigration, veterans services, etc.).

No, I did not participate in any additional referral services.

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6. Would you return to the Frontline Care Center for additional help, if needed, in the future? (Required.)

Yes

If "No," please explain:

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7. What aspects of our services did you find most beneficial?

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8. What improvements would you suggest for our services?

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9. How would you rate your overall experience with services provided by the Frontline Care Center? (Required.)

Excellent

Good

Fair

Poor

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10. Would you recommend the Frontline Care Center to others? Please select your answer and share why below. Note: Experiences may be anonymously used for printing and online marketing materials. (Required.)

Yes

Please share your experience related to your answer above.

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11. How did you hear about the Frontline Care Center?

Referral from police, fire, emergency medical services, or dispatch employer.

Referral from the VA Great Lakes Health Care System and/or other veterans services.

Referral from a community provider.

Referral from a healthcare provider.

Friend or family member

Online search

Social media

Other

If "Other," please specify:

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12. Are you currently, or have your previously been affiliated with, any of the following populations? (Please select all that apply) (Required.)

Active Duty Military

Reserve Military

Veteran

Firefighter

Paramedic

Local or State Police Officer

Sheriff's Deputy

Corrections Officer

Telecommunicator or 911 Dispatcher

Probation Officer

Parole Officer

Federal Agent

Coroner Employee

State's Attorney Employee

Judicial/Court Employee

Public Defender Employee

Active Duty Military Family Member

Reserve Military Family Member

Veteran Family Member

Firefighter Family Member

Paramedic Family Member

Local or State Police Officer Family Member

Sheriff's Deputy Family Member

Corrections Officer Family Member

Telecommunicator or 911 Dispatcher Family Member

Probation Officer Family Member

Parole Officer Family Member

Federal Agent Family Member

Coroner Employee Family Member

State's Attorney Employee Family Member

Judicial/Court Employee Family Member

Public Defender Employee Family Member

None of the Above

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13. Do you identify as any of the following? (Please select all that apply) (Required.)

BIPOC Individual (Black, Indigenous, and People of Color)

LGBTQIAA+

Latino/a

Differently-Abled

Female

Transgender

Non-Binary

Prefer Not to Answer

None of the Above

Question Title

14. Do you speak a language other than English as your primary language? (Required.)

Yes

Prefer Not to Answer

If "Yes," please include which language(s):

Frontline Care Center - Client Discharge and Satisfaction Survey

Question Title

* 1. What service(s) did you participate in? Please select all that apply.If your service is not listed, please select "Other" and describe the service you received. (Required.)

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* 2. How would you rate the improvement in your behavioral health symptoms since receiving treatment? (Required.)

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* 3. Did you learn new information about your symptoms and the best coping skills to use for symptom management? (Required.)

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* 4. How confident do you feel in being able to manage a future mental health crisis or overwhelming symptoms? (Required.)

Question Title

* 5. During treatment, did you engage in referral services? (Please select all that apply) (Required.)

Question Title

* 6. Would you return to the Frontline Care Center for additional help, if needed, in the future? (Required.)

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* 7. What aspects of our services did you find most beneficial?

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* 8. What improvements would you suggest for our services?

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* 9. How would you rate your overall experience with services provided by the Frontline Care Center? (Required.)

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* 10. Would you recommend the Frontline Care Center to others? Please select your answer and share why below. *Note: Experiences may be anonymously used for printing and online marketing materials.* (Required.)

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* 11. How did you hear about the Frontline Care Center?

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* 12. Are you currently, or have your previously been affiliated with, any of the following populations? (Please select all that apply) (Required.)

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* 13. Do you identify as any of the following? (Please select all that apply) (Required.)

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* 14. Do you speak a language other than English as your primary language? (Required.)

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* 15. Any additional comments or feedback?

1. What service(s) did you participate in? Please select all that apply.
If your service is not listed, please select "Other" and describe the service you received. (Required.)

2. How would you rate the improvement in your behavioral health symptoms since receiving treatment? (Required.)

3. Did you learn new information about your symptoms and the best coping skills to use for symptom management? (Required.)

4. How confident do you feel in being able to manage a future mental health crisis or overwhelming symptoms? (Required.)

5. During treatment, did you engage in referral services? (Please select all that apply) (Required.)

6. Would you return to the Frontline Care Center for additional help, if needed, in the future? (Required.)

7. What aspects of our services did you find most beneficial?

8. What improvements would you suggest for our services?

9. How would you rate your overall experience with services provided by the Frontline Care Center? (Required.)

10. Would you recommend the Frontline Care Center to others? Please select your answer and share why below. Note: Experiences may be anonymously used for printing and online marketing materials. (Required.)

11. How did you hear about the Frontline Care Center?

12. Are you currently, or have your previously been affiliated with, any of the following populations? (Please select all that apply) (Required.)

13. Do you identify as any of the following? (Please select all that apply) (Required.)

14. Do you speak a language other than English as your primary language? (Required.)

15. Any additional comments or feedback?