BHRT Services Survey – Creole - Rockland Help

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Sondaj sou Sèvis BHRT yo

Ou te fèk mande soutyen nan men Ekip Entèvansyon Nan Sante Konpòtmantal Rockland lan. Tanpri ede nou amelyore sèvis nou yo pandan w ap konplete ti sondaj sa. Mèsi.

"*" indicates required fields

Èske ou reprezante yon ajans oubyen ou se yon endividi ki te mande sèvis yo nan men BHRT? (tcheke youn)*

Mwen reprezante yon ajans, lekòl, oswa yon lòt etablisman

Mwen pa asosye ak yon ajans oswa avèk yon òganizasyon

Nan ki dat ou te fè demann sèvis yo?*

MM slash DD slash YYYY

Èske sèvis la te pou ou, yon manm fanmi, zanmi, oubyen pou yon lòt moun?*

Pou mwen

Pou yon manm fanmi

Pou yon zanmi

Pou yon kolèg

Other

Nan ki vitès nou te dekwoche telefòn nan lè ou te fè apèl la?*

Sone 1-2 fwa

Sone 3-4 fwa

Sone 4+ fwa

Okenn moun pa t dekwoche, mwen te kite yon mesaj

Si ou te kite yon mesaj, nan ki vitès li te retounen?

Nan espas 30 minit

Nan espas inèdtan

Mwen pa t jwenn yon apèl an retou

Si yo te voye yon ekip nan lokal ou, nan ki vitès yo te rive?

Nan espas 15 minit

Nan espas 30 minit

Nan espas inèdtan

Èske reprezantan BHRT a te byen reyaji ak ou e pran ka ou byen?*

Bon jan pa dakò

Pa dakò

Ni youn ni lòt

Dakò

Bon jan dakò

Si ekip la te vin jwenn ou, kòman ou t ap evalye sèvis yo lè yo rive?

1= Fèb

2

3

4

5 = Ekselan

Poukisa ou evalye yo menm jan ou te fè sa nan kesyon presedan?

Èske ou santi nou te ede ou rezoud ka ou te rele pou li a? Tanpri bay detay yo.*

Èske ou t ap rekòmande BHRT ak yon lòt moun ki bezwen sipò sante mantal?*

Wi

Non

Petèt

Tanpri di pou ki rezon ou bay repons ou a.*

Èske ou ta renmen kontakte nou pou yon senaryo menm jan an?*

Wi

Non

Petèt

Kijan nou kapab amelyore sèvis nou yo?

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