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  5. HOU QUALITY ASSURANCE SURVEY
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Questions marked with an * are required Exit Survey
 
How satisfied are you with the following?
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Intake Appointment
Case Manager
Customer Service
 
 
 
How often do you communicate with your Case Manager?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often does your Case Manager visit you?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you advocate for yourself?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
* What can HOU do to improve our overall service with our clients?
 
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
 
 
 
Employees of HOU listen attentively to identify and understand client concerns.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
 
 
Do you feel like HOU services are helping your situation?
 
All the time
 
Most of the time'
 
Some of the time
 
Rarely
 
Never
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Overall, I am very satisfied with the way HOU is advocating on my behalf.
 
 
How satisfied are you with the following:
10 (Very Satisfied) 9 8 7 6 5 (Somewhat Satisfied) 4 3 2 1 (Not Satisfied)
Case Manager
Communication
Service