Referral Services Quality Survey

1. How easy was it to access the MFF-CA mental health referral service? *

a. Very easy

b. Somewhat easy

c. Neutral

d. Somewhat difficult

e. Very difficult

2. Did the referred mental health provider demonstrate an understanding of your cultural and religious needs as a member of the Muslim community? *

a. Yes, completely

b. Somewhat

c. Neutral

d. Not much

e. Not at all

3. How satisfied are you with the quality of care provided by the mental health provider you were referred to? *

a. Very satisfied

b. Satisfied

c. Neutral

d. Dissatisfied

e. Very dissatisfied

4. To what extent has the referral service helped you address your mental health needs? *

a. Significantly

b. Somewhat

c. Neutral

d. Very little

e. Not at all