Mental Health Service Coordination Survey
Please help us improve mental health services by sharing your experiences and feedback regarding service coordination.
What is your role in relation to mental health services?
*
Service User
Family Member / Caregiver
Mental Health Professional
Other
Which types of mental health services have you interacted with? (Select all that apply)
*
Counseling / Therapy
Psychiatric Services
Community Support
Crisis Intervention
Other
How would you rate the overall coordination between different mental health service providers?
*
1
2
3
4
5
Please rate your satisfaction with the following aspects of service coordination.
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Timeliness of communication
1
2
3
4
5
Sharing of information
6
7
8
9
10
Clarity of roles and responsibilities
11
12
13
14
15
Follow-up and continuity of care
16
17
18
19
20
How easy was it to access coordinated mental health services?
*
Very Easy
Somewhat Easy
Neither Easy nor Difficult
Somewhat Difficult
Very Difficult
Did you experience any barriers to effective service coordination?
*
Yes
No
If yes, please describe the barriers you encountered.
How would you rate the communication between service providers?
*
1
2
3
4
5
What improvements would you suggest for better coordination of mental health services?
Please provide any additional comments or feedback regarding your experience with mental health service coordination.
What is your age group?
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
Submit Survey
Should be Empty: