Client Satisfaction Survey

Client Satisfaction Survey
Please rate the following statements regarding your experience with Ravenwood Health services by selecting the appropriate statement that best reflects your opinion. Your honest opinion and feedback, positive or negative, is greatly appreciated and will be used to help us improve our sevices. Thank you for your participation!

1=Strongly Disagree
2=Disagree
3=Neither Agree or Disagree
4=Agree
5=Strongly Agree

1. My phone contact with Ravenwood Health has been friendly, respectful and helpful.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

2. When I call the agency, my phone call is returned in a timely fashion.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

3. I feel welcomed at Ravenwood Health.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

4. Ravenwood Health offers the services that I need.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

5. My concerns and worries were addressed by staff.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

6. I believe I am better able to cope with life because of the treatment I am receiving or have received.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

7. I feel better now that I did when treatment began.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

8. I participated in my treatment planning and decisions.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

9. I was asked about my treatment goals and needs.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

10. I felt my treatment goals and needs have been, or are being, met.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

11. I felt listed to and understood.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

12. My appointments were scheduled in a timely manner.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

13. I was provided services in a culturally sensitive manner.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

14. I feel safe when in a Ravenwood Health facility.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

15. I feel safe when with my Ravenwood Health provider.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

16. I would recommend Ravenwood Health Services to my family and friends.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

17. The overall quality of my services was good.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

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