Community Based Services (Referring Agent)
Consumer Satisfaction Survey
Frequency of communication with assigned counselor? *
How satisfied are you with the services being provided? *
Please explain any dissatisfaction with the service being provided.
Your answer
How satisfied are you with the communication and quality of services provided by the supervisor? *
Please explain any dissatisfaction.
Your answer
How likely are you to recommend/refer clients and others to Inner Circle? *
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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