ETV Satisfaction Survey

Thank you for taking the time to answer this questionnaire. Your participation is critical to the process of assessing client outcomes for contracted services.

If you prefer to submit a printed version of the survey, click here to download: ETV Satisfaction Survey.

Survey Questions

I received ETV funds no later than 20 days (initial)/ or 15 days (update) from being approved for the ETV program

Strongly Agree

Agree

Disagree

Strongly Disagree

Not applicable (Don\'t know)

ETV staff were available during regular business hours or responded promptly (within 24-48 business hours) if I left a message

Strongly Agree

Agree

Disagree

Strongly Disagree

Not applicable (Don\'t know)

I am satisfied with the support and assistance received through the ETV program

Strongly Agree

Agree

Disagree

Strongly Disagree

Not applicable (Don\'t know)

Did you work with an ETV Specialist to complete your application?

How did you hear about BCFS Health and Human Services?

Comments/Suggestions

If you would like to be contacted regarding an ongoing issue, please include your name on the line below and include your request in the comments section.

You may also contact ETV Program Director, Monica McDonald, directly at mm0216@BCFS.net or (832) 247-4655

Name

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