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In order to provide the best possible services, RHA would like to know your opinion regarding our services. There is a space at the end of the survey to comment on any of your answers. Thank you for taking the time to complete this survey.

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* 1. I felt comfortable asking questions about my (or my family member’s) treatment and/or medication

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* 2. My treatment goals were based on the desires of myself and/or my family.

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* 3. RHA staff were respectful of my cultural background (race, religion, language, etc.)

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* 4. RHA staff were responsive when I reached out to them.

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* 5. As a result of services, I am better able to deal more effectively with daily problems.

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* 6. If enrolled in housing services, my housing situation has improved.

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* 7. As a result of services, the quality of my life has improved.

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* 8. Which RHA Behavioral Health office/program serves you or your family member?

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* 9. What service(s) do you receive?

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* 10. How long have you been receiving services from RHA?

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* 11. Comments:

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* 12. Optional Name:

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