• Satisfaction Survey

  • What was the reason for discharge?

  • SATISFACTION SURVEY – ENGLISH – Adults ages 18-59

    Please help our agency make services better answering some questions. Your answers are confidential and will not influence current or future services you will receive. For each survey item below. Please fill in the box that corresponds to your choice. Please answer the following questions based on the LAST 6 MONTHS, or if you have not received services for 6 months, just give answers based on the services you have received so far. Indicate if you Strongly Disagree, Disagree, are Undecided, Agree, or Strongly Agree with each of the following statements. If the question is about something you have not experienced, select Not Applicable to indicate that this item does not apply to you.
  • 1. I like the services that I received here.
  • 2. If I had other choices, I would still get services from this agency
  • 3. I would recommend this agency to a friend or family member.
  • 4. The location of services was convenient. parking, public transportation, distance, etc.
  • 5. Staff were willing to see me as often as I felt it was necessary.
  • 6. Staff returned my calls within 24 hours
  • 7. Services were available at times that were good for me.
  • 8. I was able to get all the services I thought I needed.
  • 9. I was able to see a psychiatrist when I wanted to
  • 10. Staff here believe that I can grow, change, and recover.
  • 11. I felt comfortable asking questions about my treatment and medication
  • 12. I felt free to complain
  • 13. I was given information about my rights
  • 14. Staff encouraged me to take responsibility for how I live my life.
  • 15. Staff told me what side effects to watch out for.
  • Should be Empty: