MG Home Care | ABA Service Satisfaction Survey

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Please answer the following questions to help us improve our services:

1. The analyst is respectful of my home rules/ religion/ routines/ schedule.*

Always
Very often
Rarely
Never

2. The RBT is respectful of my home rules/ religion/ routines/ schedule.*

Always
Very often
Rarely
Never

3. The analyst explained to me the behavior analysis support plan and the progress every month.*

Always
Very often
Rarely
Never

4. I have confidence in the analyst’s knowledge and abilities to conduct the service.*

Always
Very often
Rarely
Never

5. I have confidence in the RBT’s knowledge and abilities to conduct the service.*

Always
Very often
Rarely
Never

6. I approve the objectives and procedures that are implemented on the daily treatment.*

Always
Very often
Rarely
Never

7. The analyst teaches me how to manage my child’s behaviors to decrease maladaptive and learn new skills*

Always
Very often
Rarely
Never

8. I have seen improvement in my child’s behavior and skills during the last six months.*

Always
Very often
Rarely
Never

9. My service providers (analyst and RBT) are receptive and take the necessary/ possible actions to benefit my child.*

Always
Very often
Rarely
Never

10. I would recommend this service provider to friends and family.*

Always
Very often
Rarely
Never

Please provide us with any comments or feedback related to the services your child is receiving (analyst. RBT, and agency). If so, please specify the comments or feedback by using their names.

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