Stakeholder Comments
Hideme
Accreditation Cycle ID
Organization Number
Stage
Please select...
Invalid
Self-Study
Site Visit
PCR
Commission
We're sorry. The timeframe for this survey has ended.
This form is an opportunity for you to
anonymously
comment on your experiences with
Anchorage Community Mental Health Services, Inc. dba Alaska Behavioral Health
Your responses will be made available for the independent Peer Review team that is evaluating this organization.
Please refrain from entering any sensitive or protected health information
Please indicate your primary relationship with this organization
Staff (Personnel, Supervisors and Managers)
Consumers (Program Participants, Parents/Guardians, etc.)
Governing Body (Board of Directors/Trustees, etc.)
Advisory Body
Community Organizations (Funders, Supporters, etc.)
EAP (Employee Assistance Program - affiliates or stakeholders)
Network Providers and Independent Contractors
You selected 'Staff'. Which most closely describes your role
Personnel
Supervisor/Manager
You selected 'Consumers'. Which most closely describes you
Program Participant/User
Youth/Child in Foster Care
Youth/Child in Residential Care
Youth/Child in Ambulatory Programs
Foster Parents
Network Consumers
You selected 'EAP'. Which most closely describes your relationship
Affiliate
Stakeholder
You selected 'Community Organization'. Which most closely describes your relationship
Funder
Other
Please provide any comments you wish to help inform the independent Peer Review team.
Would you like to be contacted by the Peer Review team as part of this process?
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Yes, I would like to be contacted and will provide my contact information.
No, I wish to remain anonymous
Please provide your Name and your email address and/or phone number.