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Please take a few minutes and let us know "How We Are Doing?"

Lakeshore Behavioral Health Alliance (LBHA) affiliates are Muskegon CMHSP, Ottawa CMHSP and the Lakeshore Coordinating Council. As a publicly funded Agency, LBHA wants to know what you think about the services we provide. Would you please answer a few questions about your perceptions and experiences with LBHA Services. We appreciate your time and effort. Your opinions, comments and suggestions will assist us at LBHA in our efforts to provide quality services and make improvements as needed. Thank you very much for completing this survey.

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* 1. Please select the Agency for which you are completing this survey. Choose Only One. If you want to rate more than one of the following Agencies please complete a separate form for each.

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* 2. Agency cooperates well with our organization.

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* 3. Agency is accessible to our organization.

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* 4. Agency has staff who are knowledgeable and competent.

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* 5. Agency responds promptly to referrals and services requests.

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* 6. Agency is consistent and fair in its dealings with our organization.

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* 7. Communication with Agency on mutual clients is satisfactory.

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* 8. Overall, Agency is an effective partner with our organization.

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* 9. What could this Agency do better? We appreciate your suggestions.

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* 10. What do you see as this Agency's strengths?

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* 11. I would prefer completing any future Lakeshore Behavioral Health Satisfaction Surveys on line.

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* 12. Please select ONE category to tell us your relationship with Lakeshore Behavioral Health Alliance.

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* 13. What is your zip code?

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* 14. Please tell us about you. (Optional)

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* 15. Do you have concerns or problems with our services that you would like to discuss with us?

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* 16. If you answered yes to the previous question please include your name and phone number and a customer services representative will contact you.

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