Client Experience Survey

We value your feedback about the care and services you received while in our program. Please complete the following survey. If you are completing it on paper, please return it to the unit in the envelope provided.  Your responses are processed by the Carewest Information Management and Privacy Department and kept anonymous unless you choose to leave your name for follow-up about any feedback. The information from surveys is used to help us identify where we are providing quality care and where we have opportunities for improvement.  Thank you for your time and input to help make our program better.   

Question Title

* 1. Please tell us the Carewest site and unit where you received services:

Question Title

* 2. Date you are completing this survey

Date

Question Title

* 3. Where are you discharging to?

T