My clinician treats me with courtesy and respect

I have access to help when needed in a crisis situation

My clinician listens to me carefully and understands my problem

I am able to obtain an appointment in a timely manner

My clinician shows respect for what I have to say

I am able to see the same clinician for therapy

My clinician spends enough time with me to help me through my problems

Staff is very helpful in providing me the services I need

My clinician gives me the reassurance and support that I need

Staff treats me with dignity and respect

I usually agree with my clinician about how to deal with my problems

Staff provides me with information about additional services in a timely fashion

I am usually involved in decisions concerning my treatment

Staff protects my confidential records

My clinician informs me of my right to refuse treatment

I know who to contact in the event that I’m in a crisis

My clinician respects my privacy and ensures that there is confidentiality

I feel like I have been helped by the mental health services and other services provided to me at the Clinic

Staff and clinicians are culturally sensitive/competent

Age

Gender

Language spoke