MID-ATLANTIC YOUTH SERVICES, CORP. - inspiring brighter futures

Customer Satisfaction Survey
If an adolescent in your care had a positive (or negative) experience at Western PA Child Care or PA Child Care, please let us know by filling out the online survey below. All answers will be kept confidential.

Name:
Job Title:
Email:
State:	County:

1. At which MAYS facility have your clients received treatment?

2. Please rate your overall satisfaction with MAYS programs and services.

1 2 3 4 5

Low ---------------- High

Additional comments:

3. How would you rate the competence and professionalism of MAYS staff?

1 2 3 4 5

Low ---------------- High

Additional comments:

4. How would you rate the usefulness, accuracy, clarity, and professionalism of MAYS treatment plans, progress reports, and discharge summaries?

1 2 3 4 5

Low ---------------- High

Additional comments:

5. How would you rate your satisfaction with the progress of the client(s) you have placed at MAYS program(s)?

1 2 3 4 5

Low ---------------- High

Additional comments:

6. Please provide any other comments or suggestions that will help MAYS improve its programs and services.

May we use your feedback in our promotional materials? Yes No

ABOUT \| FACILITIES \| ADMISSION \| PROGRAMS \| SERVICES \| FAQ's \| NEWS \| CAREERS \| RECOGNITION \| CONTACT \| HOME
All rights are reserved to Mid-Atlantic Youth Services, Corp. � 2012. For more information, please contact us.