Voluntary Client Survey

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* 1. Which area are your services based in?

Lynchburg

Martinsville

New River Valley

Roanoke

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* 2. What services do you participate in? (Check all that apply)

Mental Health Skill-Building

Partial Hospitalization (PHP)

Intensive Outpatient (IOP)

SA/MH Outpatient Counseling

Peer Recovery Services

Case Management

Medication Assisted Treatment

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* 3. How many days a week do you receive services from ehs?

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* 4. Do you feel this is enough time based on your needs?

Yes

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* 5. Do you understand your goals you are working on in services?

Yes

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* 6. Do office staff (directors, program managers, team leaders, clinical coordinators, office managers) take your concerns seriously and resolve them timely?

Yes

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* 7. If no, please comment:

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* 8. Do you feel ehs staff treat you with respect at all times?

Yes

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* 9. If no, please comment:

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* 10. Do your services/appointments start on time, as scheduled?

All of the time

Most of the time

Rarely

Never

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* 11. Does your clinician/counselor/case manager/peer recovery specialist call you ahead of time if there is a change in schedule?

All of the time

Most of the time

Rarely

Never

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* 12. Do you feel like you are making progress on your goals in services?

Yes

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* 13. Do you feel like ehs cares about providing you with quality services?

Yes

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* 14. What more could ehs do to improve your services with us?

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* 15. Would you like an ehs staff person to contact you regarding this survey?

Yes

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* 16. Name

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* 17. Phone Number

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* 18. Privacy

Yes, you may share my answers with the staff of the office where I receive services.

No, you may not share my answers with the staff of the office where I receive services.