We are committed to serving you, our Business Associate, to the best of our ability. We are assessing the quality of services provided to your organization.

We would appreciate you taking a few moments to complete the attached questionnaire. It is designed for your feedback and evaluation on our organization's services.

This questionnaire is confidential and you will be one of many business associates asked to fill it out.
 
Please go to the following webpage:  
https://www.surveymonkey.com/r/RHCMHCBUSINESSASSOCIATES

Please select one rating for each question based on the scale below.

(Poor) 1 2 3 4 5 6 (Excellent) N/A

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* 1. How do you rate the overall service that you received from us ?

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* 2. How do you rate our overall systems capabilities ?

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* 3. How well has our Assessment Center staff met you needs ?

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* 4. How do you rate the overall interaction with our Receptionists ?

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* 5. How do you rate the overall interaction with our Security Guard ?

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* 6. How do you rate the overall interaction with our Billing Staff ?

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* 7. How do you rate the overall interaction with our Clinical Staff ?

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* 8. How do you rate the overall interaction with our Nursing Staff ?

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* 9. How do you rate the overall interaction with our Psychiatrists ?

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* 10. How do you rate the overall interaction with our Administration?

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* 11. Do you feel that we provide culturally sensitive services to Somerset County residents ?

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* 12. How do you rate the overall cleanliness of our building ?

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* 13. How would you rate the accessibility of the offices within our building ?

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* 14. How to you rate the accessibility of our satellite sites (North Plainfield and Franklin) for our clients ?

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* 15. Generally speaking, does our organization :

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* 16. What are your recommendations for improving the quality of service/services we offer you ?

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* 17. Additional Comments and Suggestions:

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* 18. Name and Address (Optional)

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