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Share Your Feedback

Thank you for taking the time to complete this survey. Your feedback is crucial in helping us improve our services and ensure the highest quality of care for the children in our program.

1. Overall Satisfaction

How satisfied are you with the overall care the child received at our facility?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

2. Quality of Therapeutic Services

How would you rate the effectiveness of the therapeutic services provided?
Excellent
Good
Fair
Poor
Very Poor

3. Staff Interaction

How satisfied are you with the communication and interactions between the staff and child?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

4. Staff Professionalism

How would you rate the professionalism and competence of the staff?
Excellent
Good
Fair
Poor
Very Poor

5. Facility Environment

How would you rate the cleanliness and safety of the facility?
Excellent
Good
Fair
Poor
Very Poor

6. Family Involvement

How satisfied are you with the level of involvement and support provided to the family during the child’s stay?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

7. Communication

How effective was the communication from the facility regarding the child’s progress and needs?
Very Effective
Effective
Neutral
Ineffective
Very Ineffective

8. Treatment Outcomes

To what extent do you feel that the program has met the child’s therapeutic needs?
Completely
Mostly
Somewhat
Not Much
Not At All

9. Recommendations

Would you recommend our facility to others in need of similar services?
Definitely
Probably
Not Sure
Probably Not
Definitely Not

10. Additional Comments

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