Client Survey: Intake/Assessment
1.
Overall, how would you rate the process of scheduling your appointment?
1 star
2 stars
3 stars
4 stars
5 stars
Please explain
2.
How was your experience with customer service? What did you think about the process of the appointment (scheduling appointment, reminders, session timeliness, etc)
Poor
1 star
Below Average
2 stars
Average
3 stars
Good
4 stars
Excellent
5 stars
Please explain
3.
How easy was it to find our location, or if you had a telehealth appointment, how easy was it to set up and complete your remote appointment?
Poor
1 star
Below Average
2 stars
Average
3 stars
Good
4 stars
Excellent
5 stars
Please explain
4.
What did you think of our location and space/offices, or if you had a telehealth appointment, how was your overall experience completing your appointment remotely?
Poor
1 star
Below Average
2 stars
Average
3 stars
Good
4 stars
Excellent
5 stars
Please explain
5.
How friendly was our staff?
Very unfriendly
1 star
Not friendly
2 stars
Average
3 stars
Friendly
4 stars
Very friendly
5 stars
Please explain
6.
Did you feel that your privacy was protected?
Yes
No
Please explain
7.
Did you feel our staff was caring and responsive to your needs?
Yes
No
Please explain
8.
What is your overall rating of the services you received?
Poor
1 star
Below Average
2 stars
Average
3 stars
Good
4 stars
Excellent
5 stars
Please explain
9.
Would you recommend Life Recovery Center to others?
Yes
No
Please explain