Surveys

Client Treatment Perceptions (CPS) Survey

Consumer Perception Survey

Question 1: I like the services I receive here

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 2: If I had other choices, I would still get services from this agency

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 3: I would recommend this agency to a friend or family member

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 4: The location of services was convenient

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 5: Staff were willing to see me as often as I felt it was necessary

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 6: Staff returned my calls within 24 hours

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 7: Services were available at times that were good for me

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 8: I was able to get all the services I thought I needed

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 9: I was able to see a psychiatrist when I wanted to

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 10: Staff here believe that I can grow, change and recover

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 11: I felt comfortable asking questions about my treatments and medicationss

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 12: I felt free to complain

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 13: I was given information about my rights

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 14: Staff encouraged me to take responsibility for how I live my life

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 15: Staff told me what side effects to watch out for

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 16: Staff respected my wishes about who is, and who is not to be given information about my treatment

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 17: I, not staff, decided my treatment goals

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 18: Staff were sensitive to my cultural background

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 19: Staff helped me obtain the information I needed so I could take charge of managing my illness

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 20: I was encouraged to use consumer-run programs

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 21: I deal more effectively with daily problems

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 22: I am better able to control my life

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 23: I am better able to deal with stress

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 24: I am getting along better with my family

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 25: I do better in social situations

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 26: I do better in school/work

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 27: My housing situation has improved

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 28: My symptoms are not bothering me as much

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 29: I do things that are more meaningful to me

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 30: I am better able to take care of my needs

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 31: I am better able to handle things when they go wrong

Strongly Agree Agree Neutral Disagree Strongly Disagree

Question 32: I am better able to do things that I want to do

Strongly Agree Agree Neutral Disagree Strongly Disagree