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Admissions Process Referral Source Survey

Belmont Behavioral Hospital is dedicated to improving our Admission process.  This brief survey will be helpful in enhancing our process and meeting your needs. All response will be confidential and ONLY used for survey purposes. Once completed and submitted, you will be entered into a drawing to win a prize. A drawing will be held for every twenty responses that we receive.  For any questions regarding the survey, please email Colleen Drake at Colleen.Drake@belmontbehavioral.com. Thank you very much for your time, feedback and suggestions. 

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* 1. This survey tool is to ensure the quality of customer service that Belmont Behavioral Hospital's Admission Department strives to give each of its referral sources. We look forward to improving our admission process and assisting you with your referrals.

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* 2. Have you recently made a referral to Belmont Hospital? If yes, how recent?

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* 3. Was your call answered in a timely manner (or efficiently) by our Admission Staff?

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* 4. Was the Admission Staff courteous and eager to assist you?

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* 5. Was a decision made on the referral in a timely manor?

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* 6. Overall, how does the quality of treatment at Belmont Behavioral Hospital compare to other acute psychiatric hospital providers?

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* 7. Overall, how does accessibility to our services at Belmont Behavioral Hospital compare to other acute psychiatric hospital providers?

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* 8. Overall, how does communication with Belmont Behavioral Hospital compare to other acute psychiatric hospital providers?

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* 9. Would you like more information on our services?

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* 10. Is there a staff member you would like to recognize for providing excellent customer service?

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