1. GAC Clinical Outcomes 3 rd Qtr 2012

2. Survey Overview

3. Please select which service you receive. If you receive more than...

4. How long have you received services from us?

5. Please answer YES or NO to the following series of questions about...

6. So far are you satisfied with the services you receive at our agency?

7. Did you help to choose your services?

8. Did you help to choose your treatment goals?

9. Do the people helping you stick with you no matter what?

10. Do you feel you have someone to talk to when you are troubled? Or c...

11. Do you participate in your own treatment?

12. Do you believe you are receiving services that are right for you?

13. Are your services in a convenient location for you?

14. Are your services at a convenient time for you?

15. Do you feel you get the help you want?

16. Do you feel you as much help as you need?

17. Do you feel staff treats you with respect?

18. Do you feel staff respects your family's religious/spiritual beliefs?

19. Does staff speak with you in a way you understand?

20. Do you believe staff are sensitive to your cultural/ethnic background?

21. Do you feel hopeful about the services you receive here?

22. Which of the following places have you lived in over the past 3 mon...

23. In the last year, have you seen a medical professional, like a doct...

24. Are you on medication for emotional/behavioral problems?

25. If yes, did the doctor or nurse tell you what side effects to watch...

26. In the last 3 months have you been arrested by the police?

27. In the last 3 months, did you go to court for something you did?

28. How often were you absent from school during the last month?

29. Why did you miss school?

30. Do you receive any other services from us? If you check yes you wi...

31. What has been the most helpful thing about the services you received? encouragement talking & advise from therapist having someone to talk to and prescription to help calm down going on trips positive action i Dont Know I don't Know nothing Help with homework and academic intervention dont know everything the way my son acting helping me with my childs behavior problems and ect. helping me with my child behavior problems and ect. excellent job

32. What do you feel would improve the services you receive here? great as is good the way things are my behavior nothing IIH service none Nothing he need to focus and get yourself together nothing do not change anything

33. Why did you miss school? run away boring went to the beach