Customer Satisfaction Survey
4th Quarter 2023
Please select a rating of your customer satisfaction experience with The Aya Center.
*
Poor
Below Average
Average
Above Average
Excellent
I would rate the quality of professional and courteous service that I or my child receive from The Aya Center as:
I would rate the level of courtesy and professionalism shown to me by The Aya Center Staff as:
I would rate the orientation to the services that I or my child received from The Aya Center as:
I would rate my child's the access to The Aya Center, including after hours and emergencies as:
I would rate the evaluation of my child's progress at The Aya Center as:
I would rate the quality of clinical/support services that my child receives at The Aya Center as:
I would rate the effectiveness of clinical/support services that my child receives at The Aya Center as:
I would tell someone else that the quality of services offered by The Aya Center are:
I would rate my overall satisfaction with the services my child has received at The Aya Center as:
Since receiving services from The Aya Center have you been able to maintain gainful employment?
Yes
Not Applicable
No
Since receiving services from The Aya Center do you notice improvements in your child's social skills and relationships with family and friends?
Yes
No
Not Applicable
Since receiving services do you find that you or your child have been compliant with support and abstinence from substances?
Yes
No
Not Applicable
Do you find that the staff members of The Aya Center are:
Professinal
Courteous
Dressed Appropriately
Timely with visits
Please List 3 Strengths of The Aya Center
Please list 3 areas of improvement that could be made at The Aya Center
(For Parents Only) Since entering the services of The Aya Center has your child experienced less school suspension, bus suspension, and/or expulsions?
Yes
No
Not Applicable
(For Parents Only) Since entering the services of The Aya Center has your child's grades in school improved?
Yes
No
Not Applicable
Submit
Should be Empty: