How are we doing?

WE ADMIT 7 DAYS A WEEK
Same day admissions possible - Most insurance accepted

Survey information is sent to Serenity Lane's Quality Assurance department. All information remitted through this form will remain confidential and are for internal quality assurance and performance improvement purposes only.

Referents SURVEY

How are we doing?

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Name*
Date*
Email*
Phone
Availability/Accessibility to patient*
Responsiveness to patient needs*
Knowledge of substance use disorders*
Effectiveness of program*
Visibility in community*
Relationship with your agency*
Efficiency and perceived competency*
Do you refer patients to Serenity Lane on a regular basis? Why or why not?*
Do you have any suggestions for how we could improve our referral process to make it more seamless?*
Do our program offerings serve your needs?*
Do you have any input regarding patient care or program development that Serenity Lane should consider in the creation of our Stretegic Plan?
Do you have any feedback Serenity Lane should consider in addressing access to care for those experiencing health disparities, inequities and social determinants to health? How do you recommend we expand our Cultural and Diversity Plan?
Do you believe Serenity Lane to be an ethical organization? Why or why not?
Do you have any recommendations regarding technology advancements that Serenity Lane should consider?
How may we make your experience with Serenity Lane better?
How are your patients responding regarding treatment during COVID-19?*
Additional Comments*

View Serenity Lane's Code of Conduct

800-543-9905