Survey Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name (Optional)Service Location *To provide you with the best possible PRP services, we need to know what you think about the services offered at BrightPoint Wellness Center (BPWC). By completing this survey, we will be able to identify our strengths and weaknesses and make improvements. Please take a moment to help us improve your experience with BPWC. Please circle the choice after each question that best fits your answer.I would rate the quality of the professional and courteous services that I (my child) currently receives from BPWC staff as: *PoorBelow AverageAverageAbove AverageExcellentI would rate the level of courtesy and professionalism shown to me (my child) by the BPWC staff as: *PoorBelow AverageAverageAbove AverageExcellentI would rate the orientation to services that I (my child) received from the BPWC staff as: *PoorBelow AverageAverageAbove AverageExcellentI would rate my (my child’s) access to BPWC services, including after hours and emergencies as: *PoorBelow AverageAverageAbove AverageExcellentI would rate the evaluations of my (my child’s) progress at BPWC as: *PoorBelow AverageAverageAbove AverageExcellentI would rate the efficiency of the BPWC staff in meeting my needs as: *PoorBelow AverageAverageAbove AverageExcellentI would rate the quality of clinical services that I receive at BPWC as: *PoorBelow AverageAverageAbove AverageExcellentI would rate the effectiveness of clinical services that I receive at BPWC as: *PoorBelow AverageAverageAbove AverageExcellentI would tell someone else that the quality of services offered by BPWC are: *PoorBelow AverageAverageAbove AverageExcellentI would rate my overall satisfaction with all services that I have received at BPWC as: *PoorBelow AverageAverageAbove AverageExcellentPlease check the choice after each question that best fits your answer.Since receiving services from BPWC have you been able to maintain gainful employment? *YesNoSince receiving services from BPWC do you notice improvements in your social skills and relationships with family and friends? *YesNoSince receiving services from BPWC do you find that you have been compliant with maintaining support and abstinence from substances? *YesNoDo you find that the staff members of BPWC are Professional: *YesNoDo you find that the staff members of BPWC are Courteous: *YesNoDo you find that the staff members of BPWC are Dressed appropriately: *YesNoDo you find that the staff members of BPWC are Timely with visits: *YesNoPlease list 3 strengths that you find are exhibited at BPWC: *Please list 3 areas of improvement that could be made at BPWC: *Please tell us how much you agree or disagree with each statement below by clicking appropriate box after each statement.General Satisfaction I like the services that I received from BPWC *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI would recommend BPWC to a friend or family member *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeTreatment AccessBPWC staff were willing to see me as often as I felt it was necessary *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI was able to get all services I thought I needed *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI was able to see a rehabilitation coordinator when I wanted to *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeServices were available at times that were good for me *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeQuality/AppropriatenessI feel comfortable asking questions about my rehabilitation services and medication *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeBPWC staff told me what side effects to watch out for *Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeSubmit
