Intensive In-Home Services
Consumer Satisfaction Survey
What behaviors have been displayed in the home in the past 3 months?
Your answer
Have you seen improvement in the child's behavior? *
What interventions and/or techniques have your child applied? *
Your answer
Do you feel that your child is open to the counselor and/or service? *
Please list two things that your family has gained from receiving IIH services. *
Your answer
Do you believe that the counselor treats your family with dignity and respect? *
My child and/or I was involved in developing a Treatment Plan. *
Has the counselor talked about discharge? *
Please add any other comments or suggestions that you would like to share regarding your counselor, the agency, and/or services being provided.
Your answer
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