Stakeholder Satisfaction Survey Name of Stakeholder Agency Completing Survey: Date Survey Completed:(Required) MM slash DD slash YYYY Extent of of relationship:(Required) Funder, referral source, etc. Please answer the following questions about services you’ve received:Please rate the following:(Required)Not At All (1)Somewhat (2)Neutral (3)Most of the Time (4)Completely (5)Overall, how would you rate your clients’ benefit from services provided by GJBHS?How satisfied are you with the agencies referral/Intake process & timeliness of service initiation?How Satisfied are you with communication between you/your agency and GJBHS staff?Are you satisfied with the programming provided by GJBHS?Does the organization provide quality work/services that positively impacts consumers lives?Overall, do you feel that GJBHS’s staff handle client information in compliance with HIPAA?Overall, how would you rate your level of satisfaction with your GJBHS’s treatment provider?Please provide any suggestions that we can implement to improve our services and meet the needs of the populations that you service.