Client Satisfaction Form

Client Satisfaction Form
We look forward to hearing your feedback regarding our services! We use the responses to improve the experience of our clients, their families, and other community members we work with. In addition to filling out the form below, please do not hesitate to call our office at 410-780-5203 if there is a specific issue or concern you would like to discuss.
On a scale of 1 to 5, how good of a job do you think Thrive Behavioral Health does?

On a scale of 1 to 5, how good of a job do you think Thrive Behavioral Health does?

	1	2	3	4	5

1 is Worst, 5 is Best

My/my child’s situation has improved as a result of receiving services from Thrive.

My/my child’s situation has improved as a result of receiving services from Thrive.

	1	2	3	4	5

1 is Strongly Disagree, 5 is Strongly Agree

Please enter PIN number for Email sent with the link to this survey.
Who is the identified client? If more than one family member is a client, feel free to fill out a survey in regards to each client's experience at Thrive.
Which County Do You Reside in?
I (and/ or my child) feel welcomed by staff at Thrive.
I would recommend Thrive to a family member or friend.
Can you spare about 60 seconds for a few quick additional questions?

Therapy Services Feedback
What is the name of the client's therapist?
If other, please tell us the name of the client's therapist.
What is the name of the client's therapist?
The therapist sees me/ my child at:

Other
What Anne Arundel County School?
What Baltimore County School?
What Carroll County School?
What Cecil County School?
What Frederick County School?
What Harford County School?
What Howard County School?
What Montgomery County School?
What Queen Anne's County School?
What Prince Georges County School?
Closest Thrive Office Location
If your child is being seen in school, please list the school below.
How long have you/has your child been receiving services from Thrive?
The therapist meets with me/my child regularly.
The therapist involves me in my/ my child's treatment planning, including treatment goals and needs.
The therapist asks at least every 6 months about progress towards goals and whether needs were met.
The therapist methods, approach, and interventions are good fit for me/ my child.
I feel the therapist works to actively support and understand me/my child.
The therapist has made me aware of the missed appointment, attendance and discharge policy?

Other

Therapy Services Feedback