CLIENT SATISFACTION SURVEY

CLIENT SATISFACTION SURVEY
Your experience with CBHC is important to us. Your answers will be kept anonymous and confidential and will only be used for internal use to help us improve our services.

	Yes	Sometimes	No	Doesn't Apply
Do you feel confident you are receiving the right treatment intended for you?
Do you feel there is adequate communication among our psychiatrists, counselors, and CPST staff regarding your treatment?
Has the condition which you are being treated for improved?
Overall, are you satisfied with your treatment?
Are you likely to recommend CBHC to a friend or family member?

How can we improve your experience with us?
Do you have any additional comments or feedback for us?
Optional: If you would like to be contacted by a representative to discuss our services, please enter your name and a daytime phone number below.
First Name Last Name
Phone Number
Thank you for taking the time to help us learn how we can improve our services!
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Your experience with CBHC is important to us. Your answers will be kept anonymous and confidential and will only be used for internal use to help us improve our services.