Mental Health Service User Questionnaire

A mental health service user questionnaire is useful to find out the quality and efficiency of the service provided in a mental health service care centre. The questionnaire is circulated among patients and users of the mental health service. The opinions are to be analysed and feasible improvements are to be undertaken.

Sample Mental Health Service User questionnaire:

Name of the mental health care centre: ______________________________

Name of the user:                               ______________________________

Phone number:                           ______________________________

Email address:                                    ______________________________

Address:                                    _______________________________________

Q1. How long have you been using the services of our mental health service care centre?

a)   1-6 months

b)   6-12 months

c)   1-2 years

d)   More than 2 years

e)   Don’t remember

f)    Never

Q2. When did you perform the last check-up or treatment at this mental health service?


Q3. Are the mental physicians responsive to your issues?

a)   Yes

b)   No

c)   Yes, to a good extent

Q4. Have you experienced improvement in your condition from the time you have used our mental health service?

a)   Very little

b)   Rarely

c)   Never

d)   Significantly

e)   Totally

Q5. Do you trust the medical health service and the professionals working here?

a)   Yes

b)   No

c)   Can’t say

Q6. Are you treated respectfully and with dignity here?

a)   Yes

b)   No

Q7. What do you think about the fees being charged for the services?

a)   Moderate

b)   Very high

c)   Very low

d)   High

e)   Low

Q8. How would you rate our mental health service on a scale of 1 to 5 where Rank 1 means the highest and Rank 5 is the least?

a)   1

b)   2

c)   3

d)   4

e)   5

Category: User Questionnaire

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