Treasure Health Systems, Inc
Community Stakeholder Survey
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Gender *
Age *
Race *
Number of years you have known about this organization: *
Are you employed in an organization that refers persons to our services? *
If Yes, please select the Type/Focus of your organization that most applies: *
Relationship with persons who have participated in our services: *
Community Stakeholder Survey
Please select the choice under each item that represents your opinion
1. When contacting us by phone, your call is answered in a prompt and courteous manner. *
2. Our employees return phone calls and/or answer email messages in a timely manner. *
3. Requests for information about our services, or about an individual receiving services, are responded to in a timely. *
4. I have been treated with respect each time I have had contact with your organization. *
5. Persons who request services, and meet the requirements for admission to a program, are admitted in a timely manner. *
6. Our organization treats all persons participating in services with respect. *
7. Our employees are sensitive to differences in the cultural backgrounds of the persons receiving services. *
8. Our organization encourages and is open to feedback about the quality of our services. *
9. Our organization is highly respected throughout the community for providing quality services. *
10. I would recommend your organization's services to a family member or friend, without hesitation. *
Comments:
Please provide us with comments and feedback about this program.
Please provide any specific suggestions you may have for improving our organization and our services *
Please provide any additional comments you may have related to your experience with our organization: *
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