Client Satisfaction Survey

*fields are required.

 

 

 

 

 


I am satisfied with the services that I receive.*

 

If I had other choices, I would get services from this agency.*

 

When contacting this agency, I am treated with respect.*

 

Staff members are willing to see me as often as necessary and make time for me as needed.*

 

My phone calls are returned in a timely manner.*

 

Staff members assist me in setting goals and believe I can meet these goals.*

 

I understand what case management services are available to me.*

 

Staff members provide referrals to me for resources that I may need.*

 

I understand there is a grievance process, if needed.*

 

Staff respects my confidentiality.*

 

If needed, staff provides me with resources and education on how to reduce risky behaviors.*

 

Staff members are able to answer questions that I have regarding the services that I receive.*

 

I am overall happy with the services that I receive from this agency.*

 


Provide the 3 services you receive from this agency and are most happy with.*

 

Provide at least one thing that could be improved by this agency.*

 

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