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COVID-19 GRANT - CLIENT SATISFACTION SURVEY
Please fill out the following information anonymously regarding your experience receiving mental health services during the COVID-19 Pandemic. For each question, “1” represents “not at all” and “10” represents “very much.”
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Indicates required field
Name of Mental Health Agency You Visited:
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I came to this organization because of the impact of COVID in my life.
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No
I felt welcomed at the agency while I was there.
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I felt respected and listened-to by the provider during my sessions.
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My provider took the time to explain to me what to expect from beginning to end.
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The sessions I participated in assisted me in understanding more about myself, the current or past adversity I may have experienced (especially related to COVID-19), and what I feel.
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The sessions I participated in helped me learn how to cope with my feelings in a healthy way.
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At the end of the sessions I participated in, I felt more equipped for my every day life with its ups and downs.
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8. Overall, I am satisfied with the services I received from this organization.
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Yes
No
Any Additional Comments
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