REACH SATISFACTION SURVEY
We really value your feedback and are always looking for ways to improve our services. Please take a few minutes to take our survey as follows:
1. Copy all survey questions
2. Paste questions in space below labeled PASTE SURVEY
3. Provide Y or N (Yes or No) answers.
4. Provide your e-mail and press SEND.
Thank you. As always, your information and email is secure and confidential.
Answer the following questions as Y or N (Yes or No)
1. When first contacting REACH was your request handled promptly by the Intake Counselor? ____
2. Did the Intake counselor handle your request with care and concern? ____
3. Did the Intake Counselor assist you with your request? ____
4. If you were referred for "non-counseling" ie: legal, financial, elder care, -related assistance did the provider/business handle your request in a prompt professional manner? ____
5. Did the non-counseling related referral provide you with necessary assistance for your requested concern? ____
6. Would you be willing to be referred to this non-counseling referral in the future? ____
7. If you were referred for counseling assistance did the counselor/therapist referred to handle your request and schedule your appointment promptly? ____
8. Did the counselor/therapist referred to provide you with the support you requested? ____
9. Would you be willing to be referred to this counselor/therapist in the future? ____
10. Was your overall experience with REACH satisfactory and would you contact REACH for future assistance? ____
**Is there anything else that you would like to tell us in response to any of the questions?
**If REACH did not meet your satisfaction can our Clinical Director contact you to learn how we can improve? If so at what number or email shall we contact you?