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Client Satisfaction Survey Back to Course Index

The Palm Beach Institute

Client Satisfaction Survey

Today’s date:                                   

The following questionnaire will be used as a tool to evaluate the treatment you received at The Palm Beach Institute (PBI). PBI is committed to providing the highest quality treatment possible; for this reason, your feedback is very important, it will help us to improve our treatment program and PBI as a whole.

Please do not put your name on the questionnaire, be as direct as possible; all information that you share will remain completely confidential. When you complete the questionnaire, please return to the Alumni Coordinator or Case Manager.

During your stay, which programs did you utilize?

Detox________ Adolescent________ RTC/PHP________ Olive House________

Please rate each area on the table below:

 

Excellent

Good

Average

Poor

Not Apply

Please rate overall experience at PBI:

 

 

 

 

 

 

 

 

 

 

 

Intake Department (Prior to your admission):

Excellent

Good

Average

Poor

Not Apply

Who was your Intake Counselor:_____________________________

 

 

 

 

 

Promptness of return call

 

 

 

 

 

Availability

 

 

 

 

 

Helpfulness

 

 

 

 

 

Please rate overall intake experience:

 

 

 

 

 

Admission/Intake:

Excellent

Good

Average

Poor

Not Apply

Who was your Admission Counselor:_________________________

 

 

 

 

 

Prompt assistance upon arrival

 

 

 

 

 

Explained all documentation clearly & answered all questions

 

 

 

 

 

Please rate overall admission/business office experience:

 

 

 

 

 

Medical/Psychiatric:

Excellent

Good

Average

Poor

Not Apply

Please rate Physician and/or Physician’s Assistant

 

 

 

 

 

Please rate Nursing Staff

 

 

 

 

 

Personal Caring

 

 

 

 

 

Availability

 

 

 

 

 

Assistance in understanding treatment process

 

 

 

 

 

Explanation of test & test results

 

 

 

 

 

Care of physical problems

 

 

 

 

 

Care of psychiatric problems

 

 

 

 

 

Professionalism in medical care

 

 

 

 

 

Assistance in understanding medications

 

 

 

 

 

Please rate overall Medical/Psychiatric experience:

 

 

 

 

 

Counseling:

Excellent

Good

Average

Poor

Not Apply

Who is/was your Primary Therapist:__________________________

 

 

 

 

 

Rapport with therapist

 

 

 

 

 

Caring & helpfulness of counselors

 

 

 

 

 

Helpful interaction with therapist

 

 

 

 

 

Well run therapeutic sessions

 

 

 

 

 

Family involvement

 

 

 

 

 

Scheduling/keeping appointments

 

 

 

 

 

Guidance in looking at self

 

 

 

 

 

Assistance in treatment planning

 

 

 

 

 

Assistance in explaining recovery principles

 

 

 

 

 

Assistance in applying recovery steps

 

 

 

 

 

Felt validated and listened to by therapist

 

 

 

 

 

Treated with respect and dignity by therapist

 

 

 

 

 

Freedom to express my frustrations with therapist

 

 

 

 

 

Able to express my individuality

 

 

 

 

 

Please rate your overall experience in counseling:

 

 

 

 

 

Program Components:

Excellent

Good

Average

Poor

Not Apply

Consistent, fair program rules

 

 

 

 

 

12 Step Programming

 

 

 

 

 

Group counseling

 

 

 

 

 

Individual counseling

 

 

 

 

 

Books, Literature, Handouts

 

 

 

 

 

Written assignments

 

 

 

 

 

Fitness

 

 

 

 

 

Enjoyable recreation activities

 

 

 

 

 

Aftercare planning

 

 

 

 

 

AA/NA Meetings

 

 

 

 

 

Information on spirituality

 

 

 

 

 

Art Therapy

 

 

 

 

 

Family Workshop

 

 

 

 

 

School time

 

 

 

 

 

Please rate overall Program Components:

 

 

 

 

 

Non-medical staff (BHTs)

Excellent

Good

Average

Poor

Not Apply

Competent

 

 

 

 

 

Caring

 

 

 

 

 

Freedom to express my frustrations with techs

 

 

 

 

 

Felt validated and listened to by the techs

 

 

 

 

 

Treated with respect and dignity by techs

 

 

 

 

 

Knowledge of programs and recovery steps

 

 

 

 

 

Please rate your overall experience with BHT’s(Techs):

 

 

 

 

 

 

 

 

 

 

 

Facility Accommodations:

Excellent

Good

Average

Poor

Not Apply

Quietness

 

 

 

 

 

Safe, Confidential Environment

 

 

 

 

 

Cleanliness

 

 

 

 

 

Lighting

 

 

 

 

 

Maintenance of Facility & Equipment

 

 

 

 

 

Maintenance of grounds

 

 

 

 

 

Comfort

 

 

 

 

 

Please rate overall living accommodations:

 

 

 

 

 

Dining:

Excellent

Good

Average

Poor

Not Apply

Quality of food

 

 

 

 

 

Quantity of food

 

 

 

 

 

Balanced meals

 

 

 

 

 

Variety

 

 

 

 

 

Cleanliness of dinnerware/utensils

 

 

 

 

 

Cleanliness of dining area

 

 

 

 

 

Special diet/nutritional needs met

 

 

 

 

 

Patient Safety:

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I was informed of the purpose and nature of tests, treatment, procedures and medications.

 

 

 

 

 

I was given the opportunity to ask questions or seek further information if I was unsure of anything pertaining to my care.

 

 

 

 

 

Staff confirmed my identity prior to performing tasks or procedures, or giving me medications.

 

 

 

 

 

Staff appeared to take the proper time and safety precautions while caring for me.

 

 

 

 

 

I perceive that I was provided with safe and competent care.

 

 

 

 

 

 

1.   Prior to your admission to this program, what were your expectations of The Palm Beach Institute?

 

 

 

 

 

 

 

 

   

 

2.   How have your expectations changed?

 

 

 

 

 

 

 

 

   

 

3.   What do you consider to be the main strengths of the program?

 

 

 

 

 

4.   Where did you hear about our program?

 

 

 

Therapist

 

12-Step meeting

 

Friend

 

 

Psychiatrist

 

Media

 

Conference

 

 

Alumni     

 

Internet

 

Other

               

 

5.   Did you consider any other treatment program before choosing PBI; if yes, what program/s?

 

 

 

 

 

 

 

     

 

6.   What were the major reasons you chose PBI for treatment?

 

 

 

Programming

 

Cost

 

Number of patients

 

 

Location

 

Was not our choice

 

Other

               

 

7.   How did you pay for your treatment?

 

 

 

Cash

 

Combination of both

 

 

 

 

Insurance

 

 

 

 

               

 

8.   How old are you?

 

 

 

13 – 17

 

30 – 39

 

50 – 59

 

 

18 – 29

 

40 – 49

 

60 and over

               

 

9.   What city, state and/or country do you reside?

 

 

 

 

 

 

     

 

10.       Would you choose PBI again?  

 

 

Yes

 

No

 

 

 

Why or why not?

 

 

 

 

 

 

 

 

11.       Is there a staff person that you would like to recognize that gave you exceptional care while in treatment at PBI?

 

 

 

 

 

 

 

 

 

 

12.       If you rated anything below an   Average/Neutral on the above survey, please explain what you would like to see improved:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                         

 

Please share any additional comments or suggestions you may have to improve our care: