ESBD_File_235902_HHS0009678_ET_Attachment A-1_ET Performance Measure_Client Satisaction Survey.docx
DOCX document 81 KB Posted
- Attached to
- Evaluation and Treatment Services
- Solicitation number
- HHS0009678
- Issued by
- Texas
About this file
This document is a Client Satisfaction Survey Questionnaire related to a contract for Evaluation and Treatment Services issued by the Health and Human Services Commission (HHSC) on behalf of the Department of Family and Protective Services (DFPS) Child Protective Services (CPS) in the state of Texas. The questionnaire seeks feedback from clients on their experience with the therapy services provided, including whether the therapist was helpful, understanding, and respectful of the client's culture, as well as whether the client learned new parenting skills and made positive changes in their life. The contract opportunity covers services in Travis County and the city of Austin.
The survey asks clients to rate their level of agreement with various statements related to the therapy services, and provides space for clients to share what they liked most and least about the therapy, as well as anything they wished was included. While pricing terms, set asides, and funding sources are not explicitly stated, the feedback gathered through this survey will likely inform future contract decisions and service delivery.
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Other files
| File | Type | Posted |
|---|---|---|
| ESBD_File_235902_HHS0009678-Package-4 -Addendum_3_01142022.doc | DOC document | |
| ESBD_File_235902_FY21_HHS0009678 - ET - Pkg2-Application and Required Forms_04212021.docx | DOCX document | |
| ESBD_File_235902_Package 1 - Evaluation and Treatment.docx | DOCX document |
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Text version
Department Family & Protective Services
Attachment A-1
Date:
Facilitator:
Agency:
Client Satisfaction Survey Questionnaire
Put an X in the box for your answer to each question. If the question does not apply to you, mark the NA box for Not Applicable.
| Strongly Agree |
| Agree |
| Disagree |
| Strongly Disagree |
| NA |
1. My therapist believes that I can change and grow. My therapist helps me find my own solutions.
2. My therapist encourages me to be responsible for the safety of my kids. My therapist helped me find relatives and friends who care about the safety of my kids.
3. My therapist understands my problems and worries and makes me feel comfortable talking about my life and my family.
4. I learned new ways to parent my kids and I have been using my new skills at home.
5. I learned a lot about how kids grow and develop. I learned how abuse and neglect hurts kids and how it makes them act. I learned about my children's needs and how I can meet them.
6. I understand the problems that caused CPS to open a case and most of the problems are getting better.
7. My therapist encourages me to attend other classes or join other support groups or participate in community activities. I found other agencies or groups that could help me with my life and my kids.
8. My therapist is respectful of my culture and how we raise our kids.
9. If I had other choices, I would still get services from this therapist
10 This therapy made positive changes in my life and in how I parent my kids and I would tell someone to try this kind of therapy if they had problems like mine.
Comments (What did you like most about therapy? Like least? Is there anything you wanted that was not part of the therapy?)
Client Signature Date Signed
File details come from the government source that posted it. Updated .