Community Based Services (Clients)
Consumer Satisfaction Survey
Did your counselor explain to you why you are receiving these services? *
Have you identified and progressed in achieving your goals? *
My worker has connected me to community resources that have assisted me with reaching my goals. *
My worker has provided me with skills that I will use to improve my relationship with my children, family members and/or friends. *
Do you believe that the counselor treats your family with dignity and respect? *
How often does your counselor visit with you face to face per week? *
How often does your counselor speak with you via phone/text messages per week? *
How satisfied are you with the services being provided by your worker? *
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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