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Exit Survey
 
 
Hello:
You are invited to complete our client satisfaction form. It will take approximately 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact the Sexual Assault Crisis Center.

Thank you very much for your time. Please start with the survey now by clicking on the Continue button below.

 
 
Can you tell us your age?
 
18 and under
 
19-29
 
30-39
 
40-49
 
50-64
 
65 and over
 
 
How many meetings did you have with your case manager?
   
 
 
Were you satisfied with the number of meetings?
 
Yes, I am very satisfied
 
No, I would have liked more meetings
 
No, I feel there were too many meetings.
 
In regards to the meetings with your case manager. How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Was he/she attentive to your needs?
Length of each meeting
Your questions were answered promptly?
How was your comfort level?
Overall Satisfaction
 
 
 
Comments/Suggestions:
   
 
How satisfied are you with the support staff you personally dealt with during visits to our agency or via telephone?
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Front Desk and Reception area
Availability of staff
Were you treated with respect?
Were your phone calls handled promptly?
Overall experience
 
 
Comments/Suggestions:
   
 
 
 
Are you satisfied with the resolution your case manager developed and implemented?
 
 
 
Did you feel safe while inside the agency?
 
Yes
 
No
 
Thank you very much for answering our questions. Your input is very important to us. By analyzing your confidential responses, we continue to assess and review our standards and policies so that our agency can strive to maintain a high quality of client satisfaction.