2015 Alliance Behavioral Healthcare Stakeholder Survey

1. Survey of Alliance Stakeholders

Alliance Behavioral Healthcare is committed to the continuous improvement of the services offered to our residents with mental health, developmental disabilities, and substance use needs. We are conducting a needs assessment to understand service needs and gaps.

Please take a few minutes to complete this brief survey. Your responses are very important to help us understand the service needs in our community. The information that we receive through this process will inform our service planning and development efforts for the next year and will help us better serve adults, children, and families in our communities.

Please complete the survey by Friday, January 30.

Thank you!

Question Title

* 1. Please tell us which of the following describes your agency's mission best:

Advocacy

Church or other religious

Criminal Justice

Juvenile Justice

Law Enforcement

Housing/homelessness

Local Department of Social Services

Other Human Services

Local Public Health Department

Primary Healthcare

Public School System

Other (please specify)

Question Title

* 2. What is your role within your organization?

Question Title

* 3. In which of the Alliance catchment area counties do you provide services (select all that apply)?

Cumberland

Durham

Johnston

Wake

Other (please specify)

Question Title

* 1. Please tell us which of the following describes your agency's mission best:

Question Title

* 2. What is your role within your organization?

Question Title

* 3. In which of the Alliance catchment area counties do you provide services (select all that apply)?

Question Title

* 4. (Optional) What is the name of your agency?