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Intensive Family Preservation (IFP) Client Satisfaction Survey
IFP Client Satisfaction Survey
Intensive Family Preservation
Client Satisfaction Survey
Name
*
First
Last
Date
*
Date Format: MM slash DD slash YYYY
Please select the response that best reflects your level of satisfaction.
1. This program was fully explained to my family during the first session:
*
Strongly agree
Agree
Disagree
Strongly Disagree
Does not apply
2. Home visits occurred at times that were convenient to my family:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
3. Staff were professional and polite to my family:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
4. I was involved in developing service goals:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
5. Staff respected my culture/ethnic:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
6. Staff listened to my concerns:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
7. Number of hours spent with staff met our needs:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
8. Overall, I was satisfied with services received:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
9.There has been improvement in the problems we sought help for:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
10. We are better able to continue working out problems on our own:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
11. We know how to access community resources to help meet our family’s needs:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
12. My parenting skills have improved:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
13. If we need help in the future, we are likely to request IFP:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
14. I know people who will listen and understand me when I need to talk:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
15. I have people I am comfortable talking to about my child’s problems:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
16. In a crisis, I would have the support I need from family or friends:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
17. I have people with whom I can do enjoyable things:
*
Strongly agree
Agree
Disagree
Strongly disagree
Does not apply
18. I feel like my family has increased supports (formal and/or informal):
*
Strong agree
Agree
Disagree
Strongly disagree
Does not apply
19. Comments:
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