* Required Information
1. Were you satisfied with the service provided by Life Change?
*
Yes
No
2. Did the services provided address the client's needs?
*
A great deal
A lot
A moderate amount
A little
None at all
3. Did the member learn any transferable skills?
*
Yes
No
4. Did the members service plan identify the services provided by Life Change?
*
A great Deal
A lot
A moderate amount
A little
None at all
5. Was the member able to return to family or does the member continue to need the same or similar services after discharge from Life Change?
*
Yes
No
6. Will you recommend Life Change to others?
*
Very Likely
Likely
Not Likely
Unlikely
Very Unlikely
7. Was the environment of the facility up to your expectations?
*
Yes
No
8. Was the staff knowledgeable and courteous?
*
Yes
No
9. Do you have any comments, questions or concerns about Life Change staff or administration?
10. Overall experience with our services:
*
Excellent
Good
Fair
Poor