Bar Chart

Division

Program

I like the services that I receive

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

I would recommend this agency to a friend or family member

The location of services is convenient (parking, public transportation, distance, etc.)

Staff are willing to see me as often as I feel it is necessary

Staff return my calls within 24 hours

Services are available at times that are good for me

I am able to get all services I think I need

Staff here believes I can grow, change and recover

I feel comfortable asking questions about my treatment and medication

I feel free to complain

Staff tell me what medication side effects to watch for

Staff respect my wishes about who is, and who is not, to be given information about my treatment

I, not staff, decide my treatment goals

Staff are sensitive to my cultural background (race, religion)

Staff help me to obtain the information I need so that I can take charge of managing my illness

As a direct result of the services I receive: I deal more effectively with daily problems

As a direct result of the services I receive: I am better able to control my life

As a direct result of the services I receive: I am better able to deal with crisis

As a direct result of the services I receive: I am getting along better with my family

As a direct result of the services I receive: I do better in social settings

As a direct result of the services I receive: I do better at work and/or school

As a direct result of the services I recieve: My symptoms are not bothering me as much

As a direct result of the services I receive: I am satisfied with my living arrangements

As a direct result of the services I receive: I do things that are more meaningful to me

As a direct result of the services I receive: I am better able to take care of my needs

As a direct result of the services I receive: I am better able to handle things when they go wrong

As a direct result of the services I receive: I am better able to do things that I want to do

As a direct result of the services I receive: I was encouraged to use consumer run-programs

What is your age?

What is your gender?

What is your race?

Are either of your parents hispanic or latino?

What is the primary reason you are receiving services from this organization?

Who referred you (suggested that you come) to our organization?

How long have you received services from this organization?

In a crisis, I would have the support I need from family and friends?

I have people with whom I can do enjoyable things?

I am happy with the friendships that I have?

I feel I belong in the community?

Were you working at a paid job in the last 12 months?

Were you in a psychiatric hospital in the last 12 months?

Were you arrested during the past 12 months?

Were you arrested during the 12 months prior to that?

How many times have you moved in the last 6 months?

How many days have you been homeless in the last 6 months?