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NRCIL Services Satisfaction Survey
A brief survey of how you feel about NRCIL services.
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Do you feel in control of the services you receive from NRCIL?
Always
Sometimes
Never
N/A
Clear selection
Do NRCIL staff members spend enough time with you?
Always
Sometimes
Never
N/A
Clear selection
Are you satisfied with the services you received at NRCIL?
Always
Sometimes
Never
N/A
Clear selection
Do NRCIL staff show respect for you, your choices and your personal things?
Always
Sometimes
Never
N/A
Clear selection
Do you feel safe at NRCIL?
Always
Sometimes
Never
N/A
Clear selection
Do NRCIL staff members listen carefully to you?
Always
Sometimes
Never
N/A
Clear selection
Do NRCIL staff members show interest in your questions and concerns?
Always
Sometimes
Never
N/A
Clear selection
Do NRCIL staff members explain things in a way that is easy to understand?
Always
Sometimes
Never
N/A
Clear selection
How often do NRCIL staff members encourage you to ask questions?
Always
Sometimes
Never
N/A
Clear selection
Do NRCIL staff members answer all your questions to your satisfaction?
Always
Sometimes
Never
N/A
Clear selection
Have you been able to get an appointment in a timely manner?
Always
Sometimes
Never
N/A
Clear selection
Has your Advocate cancelled appointments with you?
Always
Sometimes
Never
N/A
Clear selection
If yes, was your appointment rescheduled at a time convenient for you?
Always
Sometimes
Never
N/A
Clear selection
Have you been offered services via telehealth?
Always
Sometimes
Never
N/A
Clear selection
If yes, were you satisfied with these services?
Always
Sometimes
Never
N/A
Clear selection
What program or programs at NRCIL did you use?
Your answer
Comments or concerns:
Your answer
Contact information – OPTIONAL If you wish to be contacted.
Your answer
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