Peak View Behavioral Health Referral Source Satisfaction Survey
1.
All of us at Peak View appreciate the trust you have given us by referring patients to us for mental health treatment. In our continued effort to better serve you and your clients, we would appreciate your feedback. Please take a moment to fill out this brief survey. Read each statement or question and click on the appropriate number (10 being best and 1 being worst). If not applicable, please leave blank.  When complete, click on finish. Your response will be of value in helping us maintain standards of excellence. Thank you!
 1 Worst 10 Best 
Admission Process- I was notfied of my referral's admission into program.
Admission Process- The referral process was generally easy, timely and hassle free.
Clinical- How satisfied are you with the care given to your client?
The clinical staff is knowledgeable and treatment appropriate for my referral.
Customer Service- The telephone was answered promptly when I called and I was able to get the information I needed.
The staff was professional, and responsive.
The staff was also helpful, courteous and friendly.
How would you rate the written/verbal clinical communications for our staff about your client?
The case manager for my referral was responsive & helpful.
My phone calls were returned promptly.
  • Comment:

  • 500 characters left.
2.
All of us at Peak View appreciate the trust you have given us by referring patients to us for mental health treatment. In our continued effort to better serve you and your clients, we would appreciate your feedback. Please take a moment to fill out this brief survey. Read each statement or question and click on the appropriate number (10 being best and 1 being worst). If not applicable, please leave blank.  When complete, click on finish. Your response will be of value in helping us maintain standards of excellence. Thank you!
 1 Worst         10 Best 
Discharge Process- I received a discharge plan for my referral.
Discharge Process- I was given an adequate advance notice of my referral's discharge from the program.
Discharge- I received a discharge summary of my referral's discharge from the program.
My Community Liaison is responsive to my needs.
Overall- I would recommend this program to a friend or family member
Overall- I will refer others to the program in the future.
  • Comment:

  • 500 characters left.
Peak View thanks you for taking the time to fill out this survey as your input is greatly valued.