Strategic Interventions Member Satisfaction Survey May 2020
1.
Which service are you enrolled in with Strategic Interventions (SI)?
Assertive Community Treatment Team (ACTT)
Psychosocial Rehabilitation (PSR)
2.
Which SI Team serves you?
Marion-ACTT
Morganton-ACTT
Yadkinville-ACTT (also known as Statesville-ACTT)
Greensboro-ACTT
Warrenton-ACTT
Burlington-ACTT
Marion-PSR
3.
Your Gender
Male
Female
4.
Your Age Range
18 - 29
30-39
40-49
50 and older
5.
SI staff communicates things to me in a way that I can understand.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
6.
SI Staff includes my ideas in decisions about my treatment.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
7.
SI Staff treat me, my child, and/or my family with respect and I feel supported.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
8.
SI services are helpful because the staff spend enough time with me and/or family.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
9.
I would recommend this program/service/agency to someone else who is in need of services.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
10.
I am satisfied with the quality of services that I receive from SI.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
11.
SI Staff is courteous and professional.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
12.
I am satisfied with the effectiveness of medications prescribed to me by SI and the process of obtaining medications.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
13.
In the past 12 months, have you experienced any of these roadblocks while receiving services? (Check all that apply)
I don't receive enough services
Cultural or language barriers
I have trouble contacting my team
I have trouble communicating with my team
None
Other (please specify)
14.
In the past 12 months, have you used the hospital Emergency Room?
Yes
No
15.
If you have been to the ER in the past 12 months, what was the main reason for your ER visit? (Select all that apply)
Accident or Injury
Ongoing Mental Health concerns
Pain
Ran out of medication
Not sure where else to go
Other (please specify)
16.
Do you have any additional comments, suggestions or success stories? If yes, please share them with us.