Client Satisfaction Survey

Dear Valued Parent/Guardian,

Thank you for choosing Championed Minds LLC as your partner in mental health for your child. Your feedback is invaluable in ensuring that we provide the highest quality of care. Kindly take a few moments to share your thoughts on your experience with our services.

Antwan Jones | Owner

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Email *
Parent Full Name *
Parent Cell Phone # *
Client/Child Full Name *
Overall Experience:  On a scale of 1 to 10, how would you rate your overall satisfaction with the services provided to your child? *
Very Worst
Very Best
Staff Professionalism: How would you rate the professionalism of our staff in their interactions with both you and your child?
 *
Very Worst
Very Best

Improvement Areas: Are there specific areas where you believe we can enhance our services or areas you would like us to focus on?

 *
Very Worst
Very Best
Communication:  How satisfied are you with the communication between you and your child's therapist/case manager? *
Very Worst
Very Best

Service Effectiveness: To what extent do you feel the therapy, case management, or day treatment services have positively impacted your child's well-being?

 *
Very Worst
Very Best

Accessibility: Were the services easily accessible for your child, considering factors like location and appointment scheduling?

 *
Very Worst
Very Best

School Based Services: If applicable, how satisfied are you with the school-based services provided?

Very Worst
Very Best
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After School Services: If applicable, how satisfied are you with the after school services provided?
Very Worst
Very Best
Clear selection
Additional Feedback *
Would you like to receive a call to discuss your survey submission results? *
A copy of your responses will be emailed to the address you provided.
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