PPS | Client Quality Assurance
Parker Psychiatric Services
Email address *
General Information
Client Name: *
Primary Phone Number: *
Services Provided/Assigned Staff: *
Required
Therapist:
Behavior Counselor/PRP:
Psychiatrist:
Substance Abuse Counselor:
Quality Assessment
How well are you adjusting with PPS services? *
Unacceptable
Superior
Overall, how well do you relate to your assigned counselor/therapist? *
Unacceptable
Superior
How adequate is the amount of time provided per visit/session? *
Unacceptable
Superior
How are you benefiting from the Therapy/Med Management/PRP services? *
Unacceptable
Superior
How satisfied are you with the frequency/length of visits/sessions? *
Unacceptable
Superior
How satisfied are you with the communication between you and the counselor/therapist? *
Unacceptable
Superior
How would you rate your level of satisfaction with the services being provided? *
Unacceptable
Superior
How satisfied are you with medication management services? *
Unacceptable
Superior
How satisfied are you with the transportation services provided? *
Unacceptable
Superior
If you are unsatisfied with any of your services provided, please detail here: (provide as much information as possible including which service is problematic and/or which staff member isis problematic) *
Thank you for participating, are there any suggestions regarding Parker Psychiatric Services that you would like to offer in order for us to improve service delivery?
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy