MPNN CSB Satisfaction Survey
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)
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)
3.
What specific service are you, or your loved one, receiving?
4.
How would you rate our provider(s)?
1 star
2 stars
3 stars
4 stars
5 stars
5.
Do you feel safe, supported and valued when receiving services?
Not at all
1 star
Seldom
2 stars
Sometimes
3 stars
Most of the time
4 stars
Always
5 stars
6.
Are you actively involved in your treatment planning and do your goals reflect your needs and wants?
Not at all
1 star
Sometimes
2 stars
Most of the time
3 stars
Always
4 stars
Not Applicable
5 stars
Other (please specify)
7.
Are your questions answered clearly and in a timely manner?
Never
1 star
Seldom
2 stars
About half of the time
3 stars
Most of the time
4 stars
Always
5 stars
8.
Are our services meeting your needs?
Not at all
1 star
Seldom
2 stars
Sometimes
3 stars
Often
4 stars
Always
5 stars
9.
What we are doing well?
10.
How can we improve?
11.
Would you recommend MPNN CSB to others in need of services?
Not At All
1 star
Maybe
2 stars
Definitely
3 stars