CLIENT SURVEY

Your Feedback is Important to Us - Tell Us How We're Doing!

The Indiana Division of Mental Health and Addiction would like you to complete a survey about the services you and your child receive from us. They want to be sure that the mental health and addiction centers provide high quality services.

This survey will help the State understand what you think about these services. Filling out the survey is your choice. If you don’t want to, that is okay. No one will ask you why you don’t want to fill it out.

Nothing on the survey will identify you unless you want to put your name on it. You can add comments about the services you receive at the end of the survey. If you want your providers to follow up about your comments, you can include your name.

Your feedback will help to improve the quality of mental health and addiction services in Indiana.

Please complete the survey by either clicking on the survey links found below or by filling out a paper copy of the survey that can be found at our outpatient offices. If you fill out a paper copy of the survey, it will be put into a confidential box or envelope. We will mail the completed surveys to the State.

Fill in each circle completely so there are no white spots. Do not use X's or check marks. Only choose one circle per questions.

Thank you very much for your time and honest answers.

Survey for ADULTS Receiving Services from Southwestern Behavioral Healthcare