Question Title

* 1. Please check the box to indicate your level of agreement for each of the below statements.

  Strongly Agree Agree Neutral Disagree Strongly Disagree
My son's treatment needs are being met.
My son's medical needs are being met. 
My son's emotional needs are being met.
My son's educational needs are being met. 

Question Title

* 2. My son's service plan addresses the appropriate behavioral needs. 

Question Title

* 3. I believe my son is safe in the program. 

Question Title

* 4. I am treated with respect.

Question Title

* 5. My voice is heard by service providers.

Question Title

* 6. I am pleased with the amount of contact I receive from my Case Worker. 

Question Title

* 7. This service is helping me to understand my son better

Question Title

* 8. I am learning new ways to respond to my son's needs.

Question Title

* 9. My child’s Case Worker makes attempts to engage me in my child’s treatment.

Question Title

* 10. I believe the services my son receives will have a positive impact on his future.

Question Title

* 11. Please indicate your level of agreement with the below statements. If you are not participating in the service, check N/A

  N/A Strongly Agree Agree Neutral Disagree Strongly Disagree
Family BHIS  is preparing us for my son's transition to reunification.
Family Therapy is preparing us for my son's transition to reunification.
Integrated Health Home (IHH) is preparing us for my son's transition to reunification.

Question Title

* 12. My family has weekly in-person or virtual visits.

Question Title

* 13. When my child is home for visits, we are receiving the support we need. 

Question Title

* 14. If you are not receiving the support needed when your child has home visits, please provide any feedback on what is needed to assist in successful home visits.  

Question Title

* 15. When my child is home for visits the safety planning interventions are being followed from the family interaction plan.

Question Title

* 16. I need assistance in the following areas

Question Title

* 17. Please enter any additional comments, concerns, or suggestions.

( Privacy & Cookie Notice

T