Northern California
Behavioral Health System

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Santa Rosa Behavioral Health Hospital

Outpatient Treatment
Experience Survey

NCBHS - Individualized Patient Care - Gold Leaf

Your experience with outpatient treatment at NCBHS matters to us. We welcome your input and feedback to help us continually improve that experience. Thank you for taking a few minutes to tell us about the care you received.

AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
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Disagree
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
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Disagree
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
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Disagree
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
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Disagree
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
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Disagree
YesI do not knowI do not want an aftercare appointmentOther
Yes
I do not know
I do not want an aftercare appointment
Other
YesI do not knowUnsure
Yes
I do not know
Unsure
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
Somewhat Disagree
Disagree

If you attended a virtual (telehealth) program...

AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
Somewhat Disagree
Disagree
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
Somewhat Disagree
Disagree
AgreeSomewhat AgreeSomewhat DisagreeDisagree
Agree
Somewhat Agree
Somewhat Disagree
Disagree

OPTIONAL

NCBHS Patient Surveys are completely anonymous unless otherwise determined by the patient. If you'd like to be contacted, please leave your name and number.
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