Group Health Behavioral Health Services Patient Satisfaction Survey Page 2
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3Calling to Arrange for a Referral
Your first call to Behavioral Health Services (before you had been matched with a practitioner) was with staff
employed by Group Health. Thinking back to that PHONE CALL you made to GROUP HEALTH Behavioral Health
Services to get a referral, please rate your agreement with the following statements:
Strongly
Strongly
Not
Agree
Agree
Neutral Disagree
Disagree
Applicable
12. The person I talked with was friendly and helpful .........................
13. The person I talked with matched me with a practitioner
who was right for my needs and preferences ..............................
14. The first appointment was as soon as I wanted it .....................
Behavioral Health Service in General
Thinking about the counseling or treatment you may have received through Group Health’s Behavioral Health Service
over the last 12 months (this would include care received at the practitioner’s office listed in the letter), please respond
to the following questions:
15. Friendliness and helpfulness of staff when you checked in.
Excellent
Very Good
Good
Fair
Poor
16. Ease of getting the counseling or treatment you believe is necessary.
Excellent
Very Good
Good
Fair
Poor
17. The information I received (materials, what staff/practitioners told me, etc.) was consistent.
Strongly
Strongly
Agree
Agree
Neutral
Disagree
Disagree
18. All things considered, how satisfied are you with Group Health’s Behavioral Health Service for counseling or treatment.
Neither
Completely
Very
Somewhat
satisfied nor
Somewhat
Very
Completely
satisfied
satisfied
satisfied
dissatisfied
dissatisfied
dissatisfied
dissatisfied
Comments:
This is a new survey. We would value any suggestions for improvement to the survey itself.
Additionally, if you would like to make comments about your care, please use the space provided on the back page.
THANK YOU FOR YOUR PARTICIPATION!
Please see the next page for mailing instructions.
2 of 3
12/2006
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