form14 FR0119 Client Satisfaction Survey Southern Minnesota Behavioral Health Client Survey How did you hear about Southern Minnesota Behavioral Health? Friend Newspaper Telephone Book Community Event Physician/County Case Manager Drive by Internet Other Other How long have you used Southern Minnesota Behavioral Health services? Less than 1 month 1 to 6 months 1 to 3 years Over 3 years How often do you receive services from Southern Minnesota Behavioral Health? Once a week or more 2 to 3 times a month Once a month Less than once a month I was able to get an appointment in a timely manner. Agree Disagree Comments Comments I was able to obtain services in a location that was convenient for me. Agree Disagree Comments Comments My provider sees me at our scheduled appointment time Agree Disagree Comments Comments I feel involved with my treatment at Southern Minnesota Behavioral Health. Agree Disagree Comments Comments Overall, I am satisfied with services I have received at Southern Minnesota Behavioral Heatlh? Agree Disagree Comments Comments I will use Southern Minnesota Behavioral Health again. Agree Disagree Comments Comments I will recommend Southern Minnesota Behavioral Health to others. Agree Disagree Comments Comments The following questions are optionalWhat location were services received? Who do you see for services? Additional commentsF:\Common\Agency\Forms\FR0119 Client Satisfaction Survey.xlsx 7/31/2014CAPTCHA
