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DLA Customer Service Survey

Thank you for taking the time to provide feedback. Your responses will assist in improving our services. 
 
1.I am a (please select one option from the dropdown)
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

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
4.Did/do you feel your student/child was/is safe in the program?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5.Did/are you and your student/child receive/receiving the services that you expected?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
6.Were you welcomed into the program and treated respectfully when calling or visiting your student/child?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
7.How accessible were/are staff members to addressing questions or concerns?
Extremely Inaccessible
Inaccessible
Fairly Accessible
Accessible
Extremely Accessible
8.How satisfied were/are you with how your questions and concerns were/are addressed? 
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
9.Was/is there a specific staff member that you consider a reliable contact at the site? If so, please add their name here.
10.Did you see positive changes in your student/child while in the program?
No Changes
Minimal Changes
Neutral
Slight Changes
Positive Changes
11.Would you recommend this program to others?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
12.Additional comments....