Client Satisfaction Survey
1.
Who received the services from Seasons?
Self
Family Member
Other (please specify)
2.
Client Age Group
5-12
13-17
18-65
65+
3.
What services were received? Check all that apply.
Outpatient Psychiatry
Crisis Services | Crisis Stabilization
Counseling | Therapy Services
H.E.A.L. | Trauma Therapy
Assertive Community Treatment (ACT)
Substance Use Disorder Counseling
BHIS
Intensive Psychiatric Rehabilitation (IPR) Services
Nursing
Peer Support
Care Coordination | Case Management
Respite Services (including Camp Autumn)
School-Based Services
4.
Where was the appointment?
Autumn's Center
Camp Autumn
Carroll
Emmetsburg
Family Support Center
Rock Rapids
Sheldon
Sibley
Sioux Center
Sioux City
Spencer Main Office
Spirit Lake
Storm Lake
Schools
5.
If the location was a school, which school?
Algona
Clay Central-Everly
Cherokee
Emmetsburg
Laurens Marathon
MMCRU
OA-BCIG
Sioux Central
South Calhoun County
N/A
6.
Who was the provider? Check all that apply.
Earlene Angell, ARNP
Jean Arndt
Amanda Beggs
Alicia Beltman
Joanna Bennett
Kaitlyn Bergsma
Julius Buchanan
Kassie Carpio
Dr. Carlos Castillo
Gary Caviness
Lia Clausen
Kamie Crum
Christie Cuttell
Jessica Edwards
Steve Edwards
Ema Enriquez
Megan Evans
Daniel Finn
Meredith Frasher
Shelby Fritz
Holly Giesen
Ana Gonzalez
Chris Graham
Brenda Hartman
Kelsey Hipnar
Dana Huberg
Sherri Huizenga
Janelle Hultquist
Chelsi Jahn
Mireya Jimenez Alcala
Sheila Julius
Dee Kamau, ARNP
Amber Klynsma
Chandler Koehler
Hailey Kofron
Ben Kolars
Jennifer Kooiker
Brittany Krause
Brittany Laubenthal
Heather Lundgren
Missy Martini
Lisa Matheson
Kay Maurer
Deb McClintock
Kari Miller
Amy Morris
Lynn Morris-Turner
Kristi Mozena
Tanya Nelson
Lauren Nixon
Katie Noah
Lindsay Obbink
Saheed Olaosebikan
Dr. Nikki Orr
Angela Palmer
Janet Pedroza
Jan Pingel
Christine Quintanilla
Gus Raymond
Anne Reiter
Liz Rembold
Emily Rohlk
Monica Rosenthal
Ashlyn Schettler
Paige Selk
Calli Shaw
Meghan Sierck
April Sikora
Kim Silberstein
Emily Sliefert
Carla Spahn
Denise Staley
Anita Stoner
Courtney Studer
Angela Ten Napel
Michelle Theesfeld
Kenzie Thomsen
Tim Truesdell
Amber Turnquist
Kimberly Updike
Amber Utesch
Lynn Van Putten
Abbie Van Schepen
Jordan Van Schepen
Abbey Vos
James Wagner
Dr. Sandra Walker-Lee
Leah Wilhite
7.
The appointment was able to be made within a reasonable timeframe.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
8.
Type of preferred appointment reminder method (Check all that apply).
Phone Call
Text
Email
Would not like to be reminded
9.
Preferred timeframe for reminder of appointments.
24 hours prior
48 hours prior
72 hours prior
No reminder preferred
10.
The facility was welcoming.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
11.
The staff was friendly and helpful.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
12.
The provider was prepared for the appointment.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
13.
The provider listened to your concerns.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
14.
The provider helped with your concerns.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
15.
You would recommend your provider(s) to a friend or family member.
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Additional Comments:
16.
Using any number from 1 to 5, where 1 is the worst experience possible and 5 is the best experience possible, what number would you use to rate your experience at Seasons Center?
1 star
2 stars
3 stars
4 stars
5 stars
Additional Comments:
Current Progress,
0 of 16 answered