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Wedgwood Client Satisfaction Survey
We would love to hear your thoughts or feedback on how we can improve your experience! Your responses will remain confidential unless you identify yourself and will not affect your treatment.
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* Indicates required question
What Wedgwood program did you use?
*
Outpatient Counseling
Residential Program
Autism Services
Substance Use Disorder (SUD) Treatment
Psychiatry
Community Programs
Required
Name of your program or therapist?
*
Your answer
Do you use Network 180?
*
Yes
No
Required
Staff are sensitive to my cultural beliefs and opinions.
*
Strongly Agree
1
2
3
4
5
Strongly Disagree
Staff treat me with dignity and respect.
*
Strongly Agree
1
2
3
4
5
Strongly Disagree
I was given information about my rights, including who I can talk to if I have any concerns.
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Strongly Agree
1
2
3
4
5
Strongly Disagree
Staff listen to me.
*
Strongly Agree
1
2
3
4
5
Strongly Disagree
I am comfortable asking questions.
*
Strongly Agree
1
2
3
4
5
Strongly Disagree
I am satisfied with my services at Wedgwood.
*
Strongly Agree
1
2
3
4
5
Strongly Disagree
Tell us about your experience with Wedgwood. (optional)
Your answer
Would you like to be contacted by a Wedgwood representative?
*
Yes
No
Name (if requesting contact).
Your answer
Phone number or email (if requesting contact).
Your answer
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