Please tell us about your experience with ACTS.

Please help us by completing the following brief survey about your experience with our agency. Your feedback is very important to us and will be used confidentially to assist us in providing the best care possible.

Question Title

* 1. Today's date?

Enter date.

Question Title

* 2. Are you a client or parent of a client?

Question Title

* 4. Who was the primary clinician/case worker working with you (or your child)?

Question Title

* 5. After I I contacted ACTS to request help, I was able to access the services I (or my child) needed

Question Title

* 6. The services provided met my (or my child's) needs.

Question Title

* 7. I (or my child) felt safe (physically and emotionally) at ACTS.

T