This free survey is powered by
  1. Surveys
  2. 2013
  3. February
  4. Q
  5. QuestionPro : Company Satisfaction
0%
Exit Survey
 
 
How long have you been a consumer of Stone City Counseling, INC?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
 
Which of our services do you use? Select all that apply.
 
adult outpatient (non substance abuse treatment)
 
child and adolescent services (non substance abuse treatment)
 
substance abuse treatment primary focus adolescent
 
substance abuse treatment primary focus adult

 
 
 
How frequently do you participate in treatment?
 
2-4 or more times per week
 
1 time per week
 
Every 2 - 3 weeks
 
Every month
 
Every 2 - 3 months
 
Every 4 - 6 months
 
Once or twice a year
 
 
 
How would you rate your level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
How much do you rate us on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
Customer Courtesy of office administration?
 
Timeliness of appointment from initial call or follow up treatment?
 
Quality of treatment (as defined by an improved quality of life or ability to cope) as a result of therapeutic services?
 
Participated in goal setting/treatment planning with the therapist (consumer centered focus)?
 
Comfortable and inviting facility?
 
If a friend were to ask you about the overall quality of Stone City Counselings INC services?
 
 
Please feel free to write any additional information or feedback that may be appreciated by staff (areas of compliment or need for improvement):
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
Which category describes your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What best describes your employment status?
 
Employed full-time
 
Employed part-time
 
Self-employed
 
Not employed, but looking for work
 
Not employed, not looking for work
 
Retired
 
Student
 
Military
 
Homemaker
 
Prefer not to answer
 
Other
 
 
 
 
Which of the following categories best describes the industry you work in?
 
Automotive
 
Advertising
 
Consulting Services
 
Education
 
Entertainment
 
Financial Services
 
Government Services
 
Healthcare
 
Human Resources
 
Information Technology
 
Marketing/Sales
 
Non-Profit
 
Pharmaceuticals
 
Public Relations
 
Technical Services
 
Travel
 
Other
 
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 or more
 
Prefer not to answer