Substance Use and Mental Health Services Feedback Survey
Share feedback about your experience with substance use and mental health services. Please keep responses focused on service quality, access, and suggestions for improvement.
Service Experience
Overall satisfaction with the services
*
Very dissatisfied
1
2
3
4
Very satisfied
5
1 is Very dissatisfied, 5 is Very satisfied
I felt respected and supported by staff
*
Strongly disagree
1
2
3
4
Strongly agree
5
1 is Strongly disagree, 5 is Strongly agree
The explanations provided were clear
*
Very unclear
1
2
3
4
Very clear
5
1 is Very unclear, 5 is Very clear
It was easy to schedule and access services
*
Very difficult
1
2
3
4
Very easy
5
1 is Very difficult, 5 is Very easy
How likely are you to recommend these services to others?
*
Very unlikely
1
2
3
4
Very likely
5
1 is Very unlikely, 5 is Very likely
Open Feedback
Most helpful part of the service
*
What could be improved
*
Additional comments or suggestions
Follow-up Preferences
Preferred follow-up method
*
No follow-up
Phone call
Email
Text message
Best contact detail for follow-up
Submit Feedback
Should be Empty: