Wyandot Behavioral Health Network Client Satisfaction Survey
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1.
Which organization do you receive services from?
(Required.)
PACES
Wyandot Center
RSI
Kim Wilson Housing
*
2.
Which service(s) are you currently receiving? (Check all that apply)
(Required.)
Therapy
Case Management
Medication Services
Housing
Substance Use
Other (please specify)
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3.
Who is your service provider(s)?
(Required.)
*
4.
Is your service provider dependable?
(Required.)
Yes
No
*
5.
Are you treated with kindness and respect?
(Required.)
Yes
No
*
6.
Are the services you are receiving helpful?
(Required.)
Yes
No
If no, please explain.
*
7.
Do you receive services as often as you need?
(Required.)
Yes
No
If no, please explain.
*
8.
Are you satisfied with your service provider?
(Required.)
Yes
No
If no, please explain:
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9.
Do you find that our environment is clean, safe & welcoming?
(Required.)
Yes
No
If no, please explain:
10.
Do you have any additional comments, questions, or concerns you would like to share?
