Community Chest, Inc. Counseling/MHCHW/Advocacy Services Client Satisfaction Survey What services did you receive? Check all that apply
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Please rate how much you agree with the following statements
I feel that my counseling/MHCHW sessions were conducted with confidentiality and professionalism. (ONLY respond if you received counseling services).
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I feel that my meetings with the advocacy provider were conducted with confidentiality and professionalism- (ONLY respond if you received advocacy services).
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
If the program didn't meet my needs, the counselor/advocate made sure to refer me to people who could help.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Since I began participating in this program, I know places to get what I want and what my family needs.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
As a result of participating in services, I feel I have strengthened my:
Self Esteem
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1
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5
Self Control
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1
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5
Decision making skills
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1
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5
Communication skills
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1
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5
Goal Setting
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1
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5
Crisis management skills
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1
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5
Having a safe living environment
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1
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5
Comments
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