Transitional Living Services (TLS) of Northern New York: Mobile Crisis Survey

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Transitional Living Services
of Northern New York

Administrative Office
482 Black River Parkway
Watertown, NY 13601

Jefferson Waiver
210 Court Street
Watertown, NY 13601

Lewis Waiver
7614 North State Street
Lowville, NY 13367

St. Lawrence Waiver
230 Caroline Street
Ogdensburg, NY 13669

Anonymous Survey

Thank you for your assistance.


Age of person seen?		Gender	male female	Zip Code

Crisis Counselor (first name):

How did you hear about Mobile Crisis Services? (check one)	TV/Advertising Agency/Office Family/Friend Hospital Police School Other			If other (explain)

Did the crisis counselor offer you a home visit?	yes no

Where did you meet?				If other (explain)

The following questions are designed to assist this agency in providing the best possible Mobile Crisis Services to our community. Please mark the box which corresponds to your answer.
		Very satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
How satisfied are you with what the counselor did for you?
How would you rate the length of time it took to respond to your call?
How much confidence do you have in the knowledge and professionalism of the counselor?
How courteous, attentive and caring was the counselor?
How well did you understand the information or assistance the counselor gave you?
How helpful was the information or assistance?

Would you recommend the service to a friend in crisis?		yes no

How can Mobile Crisis Services improve?

Office: (315) 782-1777