Mansfield Customer Service Survey Thank you for taking the time to provide feedback. Your responses will assist in improving our services. OK Question Title * 1. I am a (please select one option from the dropdown) Placing agency official Parent/guardian Board member Other Other (please specify) OK Question Title * 2. When your student/child was admitted to the program were you contacted and given information regarding the specifics of the program? Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree OK Question Title * 3. Were you included in the process of treatment planning and was/is the plan based upon your goals and your student's/child's goals? Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree OK Question Title * 4. Did/do you feel your student/child was/is safe in the program? Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree OK Question Title * 5. Did/are you and your student/child receive/receiving the services that you expected? Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree OK Question Title * 6. Were you welcomed into the program and treated respectfully when calling or visiting your student/child? Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree OK Question Title * 7. How accessible were/are staff members to addressing questions or concerns? Extremely Inaccessible Inaccessible Fairly Accessible Accessible Extremely Accessible Extremely Inaccessible Inaccessible Fairly Accessible Accessible Extremely Accessible OK Question Title * 8. How satisfied were/are you with how your questions and concerns were/are addressed? Extremely Unsatisfied Unsatisfied Neutral Satisfied Extremely Satisfied Extremely Unsatisfied Unsatisfied Neutral Satisfied Extremely Satisfied OK Question Title * 9. Was/is there a specific staff member that you consider a reliable contact at the site? If so, please add their name here. OK Question Title * 10. Did you see positive changes in your student/child while in the program? No Changes Minimal Changes Neutral Slight Changes Positive Changes No Changes Minimal Changes Neutral Slight Changes Positive Changes OK Question Title * 11. Would you recommend this program to others? Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree OK Question Title * 12. Additional comments.... OK DONE