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Crisis Services Satisfaction Survey

If you have recently been involved in the resolution of a behavioral health crisis which required an intervention by one of the staff at Helen Farabee MHMR centers, we ask that you complete this brief survey. This will help improve our crisis response system.

1. Please tell us who you are:

MHMR Client
Crisis Recipient, not a current client
Staff working with a Helen Farabee representative in resolving a crisis for a patient (staff at ER, Jail, etc.)

2. Using the following scale, how would you rate the quality of care provided by the center representative?

3. Any other Comments:



THANK YOU FOR YOUR HELP WITH THIS SURVEY- YOUR OPINION COUNTS!