Pillars4Hope "CARES" Survey
1.
Would you recommend that the agency include any of the following health and social concerns in its service delivery system? (Check all that may apply.)
Domestic Violence
HIV/AIDS Testing
Primary Health care Services and Substance Use Disorders
Family Programs
Prescription Drug Information
Other (please specify)
2.
Accessibility to agency services/programs is important! Please report your experience on the following.
True
False
My First contact with the agency was positive.
True
False
The building was clean and suited for the care I received.
True
False
I felt safe while in the building and receiving my care.
True
False
My appointments and group sessions started on time.
True
False
After hour services would be welcomed.
True
False
3.
The following "daily life issues" could prevent me from being involved in services? Check all that may apply.)
Transportation
Child Care
Paying for my care
Works hours
Other (please specify)
4.
How satisfied have you been with all your help?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
5.
How likely is it that you would recommend our programs and services to others?
Very likely
Maybe
Not Likely
6.
Please feel free to make helpful comments to us as we try to improve our programs and services.
Current Progress,
0 of 6 answered
