The participant experience survey is an anonymous survey that anyone who receives services from MCIU can complete to let us know how the experience went for you. If we did a great job, we want to know about it so we can keep providing care that way. If we didn’t meet your needs, we want to know how we can serve you better.

If you have any issues with this survey, please reach out to henrietta.hanson@rhd.org

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* 1. Who is the person completing the survey?

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* 2. MCIU Responded Quickly

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* 3. MCIU helped address my immediate issue

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* 4. MCIU helped connect me to other services and supports

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* 5. I felt respected by MCIU staff

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* 6. I felt safe in my interaction with MCIU

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* 7. I prefer MCIU for crisis support, rather than another first responder (e.g. fire, police, ambulance)

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* 8. I would recommend MCIU to a friend/family member in need of crisis support

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* 9. I was aware of MCIU before today's interaction

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* 10. Overall, I am satisfied with the services I received from MCIU

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* 11. What did you like?

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* 12. What did you not like?

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* 13. Please share any other feedback about your experience with MCIU

Optional: If you are interested in being contacted for additional feedback, please provide your name and contact information here:

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* 14. Contact info (phone and/or email):

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* 15. Preferred method of contact