Overall, what is your perception of Mid-Ohio Psychological Services (MOPS)?
1 - Outstanding 2 - Adequate 3 - Neutral 4 - Poor 5 - Very Poor
Overall, how happy are you with the services provided by MOPS?
Very happy Somewhat happy Somewhat unhappy Very unhappy Not sure
Does MOPS make your job easier?
1 - None at All 2 - Very Little 3 - Some 4 - Quite a bit 5 - A Lot
How effective are the services provided by MOPS?
1 - Very Effective 2 - Somewhat Effective 3 - Not Effective 4 - Very Ineffective/Harmful 5 - Don't know
Overall, does MOPS meet the needs of the people you refer?
1 - None at All 2 - Very Little 3 - Some 4 - Quite a bit 5 - A Lot 6 - I do not refer people to MOPS (If you do not refer people, why not? __________________________________)
For each of the services listed below, how SATISFIED are you with them?:
Very Satisfied Somewhat Satisfied Somewhat Not Satisfied Not Satisfied Don't know Formal Evaluation General Mental Health Counseling Medication Services Case management Home Based Therapy Juvenile Sex Offender Program Substance Abuse Program Survivors Group Women's Support Group Adult Sex Offender Group Other
Very Satisfied Somewhat Satisfied Somewhat Not Satisfied Not Satisfied Don't Know The referral process The reception staff The billing staff Relationship with the Primary Counselor Relationship with Group Facilitators Your involvement with treatment planning Response by staff to questions Response by staff to phone calls Timeliness of reports/letters Length of the treatment program Accuracy of appointments scheduling Access to Therapist Time of Sessions Cost of Service Other
Much Better Somewhat Better About the Same Slightly Worse Much Worse Don't Know The referral process The reception staff The billing staff Relationship with the Primary Counselor Relationship with Group Facilitators Your involvement with treatment planning Response by staff to questions Response by staff to phone calls Timeliness of reports/letters Length of the treatment program Accuracy of appointments scheduling Access to Therapist Time of Sessions Cost of Service Other
Outstanding Very Well Neutral Poor Very Poor
ContinuumofAODServices. How well do you believe MOPS does at providing a full continuum of substance abuse treatment services?
Some high school or less High school graduate Attended some college Associates degree Bachelors degree Post-college graduate
Are you
Line Staff Supervisory/Administrative Staff
How long have you worked in your current position?
0-2 Years 2-5 Years More than 5 years
How long have you worked in the social service field?
Contact Information This section is optional. Please fill out this section only if you would like us to get in touch with you.
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