Client / Family Satisfaction Survey - Evaluation of Centerstone CM Services

1. Client / Family Satisfaction Survey - Evaluation of Centerstone CM Services

Please take a moment to rate our services. This survey is totally anonymous so please feel free to be as honest as you possibly can. We rely on your feedback to make improvements.

Question Title

* 1. Please tell us if you are a Client, a Bio or Kinship Parent, or a Foster Parent

Client (child / youth in care)

Biological / Kinship

Foster

Question Title

* 2. Please tell us what REGION / LOCATION you are in:

Davidson

Mid-Cumberland

South Central

South West

Tennessee Valley

Upper Cumberland

Question Title

* 3. Your Centerstone Team met with you (or, if you are a parent, your child) to address and facilitate any and all treatment needs as outlined in the treatment plan.

	Poor	Fair	Average	Good	Excellent
Contact	Contact Poor	Contact Fair	Contact Average	Contact Good	Contact Excellent

Question Title

* 4. Your Centerstone Team returned any and all phone calls in a timely manner.

	Poor	Fair	Average	Good	Excellent
Phone Calls	Phone Calls Poor	Phone Calls Fair	Phone Calls Average	Phone Calls Good	Phone Calls Excellent

Question Title

* 5. The Centerstone Team included you (or, if you are a parent, your child) and others in the developement of the treatment plan.

	Poor	Fair	Average	Good	Excellent
Involvement In Goal Planning	Involvement In Goal Planning Poor	Involvement In Goal Planning Fair	Involvement In Goal Planning Average	Involvement In Goal Planning Good	Involvement In Goal Planning Excellent

Question Title

* 6. Rate how well the Centerstone Team works to get the you (or, if you are a parent, your children) reunified with family when that is possible. (If you are the biological family, please rate how well you feel the reunification process went).

	Poor	Fair	Average	Good	Excellent
Reunification	Reunification Poor	Reunification Fair	Reunification Average	Reunification Good	Reunification Excellent

Question Title

* 7. The Centerstone Team was helpful in any and all crisis situations.

	Poor	Fair	Average	Good	Excellent
Crisis	Crisis Poor	Crisis Fair	Crisis Average	Crisis Good	Crisis Excellent

Question Title

* 8. The Centerstone Team was helpful when it came to advocating for the my needs (or, if you are a parent, the needs of the children.)

	Poor	Fair	Average	Good	Excellent
Advocating	Advocating Poor	Advocating Fair	Advocating Average	Advocating Good	Advocating Excellent

Question Title

* 9. Rate how efficiently you feel the Centerstone Team focuses on your strengths (or, if you are a parent, the strengths of your child and you as a family) rather than problems.

	Poor	Fair	Average	Good	Excellent
Strengths Based	Strengths Based Poor	Strengths Based Fair	Strengths Based Average	Strengths Based Good	Strengths Based Excellent

Question Title

* 10. Please rate the overall performance of your Centerstone Team.

	Poor	Fair	Average	Good	Excellent
Overall Performance	Overall Performance Poor	Overall Performance Fair	Overall Performance Average	Overall Performance Good	Overall Performance Excellent