CLIENT FEEDBACK QUESTIONNAIRE

Your participation is voluntary and anonymous.

1. I felt my problems were understood.



2. We agreed on what needed to be done.



3. I had confidence in the help I received.



4. My progress was reviewed with me.



5. I was treated in a professional manner.



6. What effect did the service delivered have on the difficulties you were in?



7. Do you feel you received the service you wanted?



8. As a facility, was the agency was accessible and clean?



9. Would you turn to family services for help again?



10. Would you recommend it to others you know?



Service
Client

If you would like a response to the feedback you have provided, please provide your name and contact information:



Thank you for taking the time to help ensure our programs and services are of the highest quality.