Customer Service Survey

We want to provide you with the highest quality of care as possible. Please help us to evaluate and improve or service by completing and returning this survey.

Date:required

1) Service areas. (check all that apply): required
Psychiatric ServicesTherapist ServicesCase Management ServicesDrug & Alcohol ServicesChildren & Adolescent ServicesPayee ServicesSAMI ServicesCrisis ServicesDeaf ServicesAudiology ServicesVocational Services

2) I was treated with courtesy, dignity and respect.required

3) Staff was friendly and helpful.required

4) I was seen in a timely manner?required

5) I am likely to recommend this agency to a family member or friend.required

6) Overall I am satisfied with the care I received.required

7) received the services?required

8) Day of my visit: required

9) Time of my visit: required

Please check here if you would like someone from Catalyst to contact you to talk more about this survey (be sure to include your name and Contact Number).