SATISFACTION SURVEY

At Complete Behavioral Health, we are committed to consistent improvement, and the best way to improve is to get honest feedback from our clients. Please take a moment to fill out our Client Satisfaction Survey.

Welcome to your CBH Client Satisfaction Survey

Provider Name:

Type of service received (check all that apply)

Individual Therapy

Couples/Marital Therapy

Family Therapy

Anger Management

PTSD

Athletic Performance

Other

Overall, how would you rate the service provided to you? (Select one)

Excellent

Very good

Good

Fair

Poor

My session provided me with value towards getting results (tools, skills, direction, perspective, resources)

Strongly disagree Disagree Neutral Agree Strongly Agree

My provider made me feel safe and understood

Strongly Dsagree Disagree Neutral Agree Strongly Agree

My provider was competent, professional, and on time

Strongly Dsagree Disagree Neutral Agree Strongly Agree

My provider kept all information confidential unless I gave written permission to share information about me

Strongly Dsagree Disagree Neutral Agree Strongly Agree

My provider returned my phone calls and emails in a timely manner

Strongly Dsagree Disagree Neutral Agree Strongly Agree

How would you rate your experience with scheduling? (Select one)

Excellent

Very good

Good

Fair

Poor

How would you rate your experience with the billing department? (Select one)

Excellent

Very good

Good

Fair

Poor

How would you rate your experience with the client portal? (Select one)

Excellent

Very good

Good

Fair

Poor

If you are no longer active in therapy, why did you stop?

I’m still currently in therapy

My goals were met

Available sessions didn’t match my schedule

Insurance wouldn’t cover / too expensive

I am no longer interested in therapy

My provider wasn’t a good fit

Other (please explain)

Time’s up

ABOUT US

At Complete Behavioral Health, we offer comprehensive solutions for a wide variety of mental health issues, addiction, eating disorders, and self-harm. All of our programs are confidential and customized to meet your individual needs. Our goal is to help you lead a healthy and happy life.

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CONTACT US

Omaha Phone: 402-590-2947
Papillion Phone: 402-614-0175
Fax: 402 590-2030
Email: [email protected]
Address: 4565 South 133rd Street Omaha, NE 68137

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Complete Behavioral Health (CBH) may suggest tools and resources on its website that offer information, do-it-yourself tools, and/or ways to connect with others. It does not represent its results as an exhaustive list of all services available to a given individual for a given behavioral health problem, or as an endorsement of specific treatments or services, or as a replacement for treatment or services as performed directly by our qualified providers.

Please note: Online screening tools are not diagnostic instruments. You are encouraged to share your results with our qualified providers. CBH and affiliates disclaim any liability, loss, or risk incurred consequently, directly or indirectly, from the use and application of these assessments.

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