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PBHG Family/Caregiver Satisfaction MHSIP FY2025

1.Which program are you reviewing?(Required.)
2.What is your loved one's age?(Required.)
3.What is your loved one's gender?(Required.)
4.Is your loved one Hispanic or Latino?(Required.)
5.What is your loved one's race? (Select all that apply.)(Required.)
6.How long has your loved one received services from Preferred Behavioral Health Group?(Required.)
7.Your loved one's insurance type: Please select all that apply(Required.)
Select the number that best represents your response.  Use N/A if a question does not apply to you. 
8.Overall, I am satisfied with the services that my loved one receives here. (Required.)
9.I helped to choose my loved one’s services. (Required.)
10.I helped to choose my loved one’s treatment goals. (Required.)
11.The people helping my loved one stuck with us no matter what. (Required.)
12.I felt my loved one had someone to talk to when he/she was troubled. (Required.)
13.I participated in my loved one’s treatment. (Required.)
14.The services my loved one and/or my family received were right for us. (Required.)
15.The location of services was convenient for us. (Required.)
16.Services were available at times that were convenient for us. (Required.)
17.My family got the help we wanted for my loved one. (Required.)
18.My family got as much help as we needed for my loved one. (Required.)
19.Staff treated me with respect. (Required.)
20.Staff respected my family’s religious/spiritual beliefs. (Required.)
21.Staff spoke with me in a way that I understood. (Required.)
22.Staff were sensitive to my cultural/ethnic background. (Required.)
As a direct result of services I received:
23.My loved one is better at handling daily life. (Required.)
24.My loved one gets along better with family members. (Required.)
25.My loved one gets along better with friends and other people. (Required.)
26.My loved one is doing better in school and/or work. (Required.)
27.My loved one is better able to cope when things go wrong. (Required.)
28.I am satisfied with our family life right now. (Required.)
29.My loved one is better able to do things he or she wants to do. (Required.)
30.My loved one’s encounters with the police have been reduced. (Required.)
For questions 31 – 34 please answer for relationships with persons other than your mental health providers.
31.I know people who will listen and understand me when I need to talk. (Required.)
32.I have people that I am comfortable talking with about my loved one’s problems. (Required.)
33.In a crisis, I would have the support I need from family or friends. (Required.)
34.I have people with whom I can do enjoyable things. (Required.)
35.Comments