Kentucky River Community Care
Crisis Services Feedback Form
Thank you for reaching out to KRCC or 988 crisis services. Your anonymous feedback helps us improve support for our Eastern Kentucky community. This survey takes about 3-5 minutes. All responses are confidential.
1. How did you contact crisis services? (check one)
988 Call
988 Text
988 Chat
KRCC Local Crisis Line
In-person at Crossroads
Other
2. What was the main reason for your contact? (check all that apply)
Mental health crisis
Substance use
Supporting someone else
I/DD-related
Other
3. Overall, how satisfied were you with the help you received? (1 = Not at all, 5 = Extremely)
1
2
3
4
5
4. The person who helped me listened and understood my situation.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5. The support I received was compassionate and respectful.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
6. The help I received addressed my immediate needs.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
7. What did you find most helpful?
8. What could we improve?
9. Would you recommend KRCC / 988 crisis services to someone else?
Yes
No
Maybe
Optional: Age Range
County
Thank you! Your feedback makes a difference.
Preview PDF
Submit
Should be Empty: