Referral Source Satisfaction Survey - CommuniCare

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Referral Source Satisfaction Survey

Referral Source Satisfaction Survey

We at ClearVista & Stepping Stone appreciate the trust you have given us by referring patients to us for mental health treatment. In our continued commitment to better serve you and your clients, we would appreciate your feedback. Please take a moment to fill out this brief questionnaire.

Name*
First Last
Organization
Title
Phone
Email*
Overall, I am satisfied with the care given to my clients*
- Yes
- No
Written and/or verbal clinical communications from the staff are informative and helpful.*
- Yes
- No
The staff is helpful and professional.*
- Yes
- No
The referral process is generally easy and hassle free.*
- Yes
- No
The telephone is generally answered promptly when I call.*
- Yes
- No
I would be willing to refer others to your facility.*
- Yes
- No
I was notified regarding my referrals admission to the program.*
- Yes
- No
The person I referred received adequate treatment.*
- Yes
- No
At CommuniCare we strive to provide exceptional service. Please share with us a couple of your observations that would allow us to provide you a better experience. Your suggestions and comments are appreciated.

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We are a family-owned company that has grown to become one of the nation’s largest providers of post-acute care, including skilled nursing rehabilitation facilities, long-term care facilities, assisted living communities, independent rehabilitation facilities and long-term acute care hospitals (LTACH).

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