MPNN CSB Satisfaction Survey Question Title * 1. What is your relationship with MPNN CSB? I am currently receiving services from MPNN CSB I am the family member or a friend of someone currently receiving services from MPNN CSB Other (please specify) Question Title * 2. Which group best describes the service you receive from MPNN CSB? Clinical Services (Mental Health Outpatient, Adult MH Case Management, Emergency Services, Mobile Crisis, etc.) Youth & Family Services (Youth Outpatient, Community Stabilization, Intensive In-Home, Youth Case Management) ID/DD Services (ID/DD Case Management, ID/DD Group Home, ID/DD In-Home Supports) Substance Use ( Case Management, Outpatient, Intensive Outpatient) Community Based Services (MH Skill Building, MH Resdiential (Discovery or Turning Point), Charterhouse, Assertive Community Treatment(ACT)) RISP/Healthy Families Other (please specify) Question Title * 3. What specific service are you, or your loved one, receiving? Question Title * 4. How would you rate our provider(s)? Question Title * 5. Do you feel safe, supported and valued when receiving services? Not at all Seldom Sometimes Most of the time Always Not at all Seldom Sometimes Most of the time Always Question Title * 6. Are you actively involved in your treatment planning and do your goals reflect your needs and wants? Not at all Sometimes Most of the time Always Not Applicable Not at all Sometimes Most of the time Always Not Applicable Other (please specify) Question Title * 7. Are your questions answered clearly and in a timely manner? Never Seldom About half of the time Most of the time Always Never Seldom About half of the time Most of the time Always Question Title * 8. Are our services meeting your needs? Not at all Seldom Sometimes Often Always Not at all Seldom Sometimes Often Always Question Title * 9. What we are doing well? Question Title * 10. How can we improve? Question Title * 11. Would you recommend MPNN CSB to others in need of services? Not At All Maybe Definitely Not At All Maybe Definitely Done