Mending Point Client Satisfaction Survey

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The purpose of this survey is to collect feedback about your experience with the services provided by the Mending Point Behavioral Health Services. Your feedback helps us to review, and improve – if needed, the services we provide. Please answer the questions honestly. Your participation is voluntary and all responses are kept confidential. Thank you.

Today's Date *

YYYY

Person Completing Survey *

Client

Parent/Guardian

Other:

Client Initials (Optional)

Please select the option that best describes your response to the statements below: *

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

I was treated considerately and respectfully by the program staff.

My rights were explained to me.

I felt safe to talk about my issues in counseling.

I participated in making my goals.

In our sessions we covered what was important to me to talk about.

My therapist and case manager helped me to find my own solutions.

Program staff helped me access necessary resources and referrals (example: healthcare, clothing, job placement, food, etc.).

I gained new insights that changed my views on my situation for the better.

Overall, I’m satisfied with the services I received.

I would recommend this program to someone I know.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

I was treated considerately and respectfully by the program staff.

My rights were explained to me.

I felt safe to talk about my issues in counseling.

I participated in making my goals.

In our sessions we covered what was important to me to talk about.

My therapist and case manager helped me to find my own solutions.

Program staff helped me access necessary resources and referrals (example: healthcare, clothing, job placement, food, etc.).

I gained new insights that changed my views on my situation for the better.

Overall, I’m satisfied with the services I received.

I would recommend this program to someone I know.

List one thing that was the most helpful about working with Mending Point staff. *

List one way that Mending Point can improve. *

Additional Comments (Optional)

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