Agreements & Overview of the CSQScales®

Copyright © 1978, 2006, 2020 Clifford Attkisson, Ph.D. All Rights Reserved.
Contact: Clifford Attkisson, Ph.D., Tamalpais Matrix Systems, LLC,
57 E. Delaware Place, #3205, Chicago, IL 60611-1629. Email:
Voice: 415-310-5396. Fax: 339-440-9537. U.S. Domestic Toll Free Fax: 866-770-4975.

Scale use is strictly contingent on express written permission from the copyright holder (Attkisson) and remission of use fees. Do not copy or otherwise use the CSQScales® without permission.

Contact/Availability: Copyright holder. Use of the CSQScales® is contingent on express permission from the copyright holder (Attkisson) and remission of user fees. All users of the CSQ Scales are required and agree to uphold the license agreement.

Written permission is required for use of the CSQScales® and use is strictly limited to individuals and institutions that formally request use permission. This requirement applies equally to service related and research related uses. Due to the volume of requests received, the most efficient method of ordering CSQ forms and paying for usage is to use the payment options section of this web site. Prospective users, however, may send communications via email, Twitter, fax, or post. In addition, volume purchases are required for most favorable pricing. Users or others making enquiries may email for information about volume discounts.

[Note: Prices are subject to change to accommodate price increases for related supplies and materials.] Shipping and handling charges are in addition to the per use cost. There are no exceptions to these policies. Tamalpais Matrix Systems, LLC frequently receives requests for permission to modify the wording of scale items. Permission is never granted since such changes: (a) void or limit the normative comparisons available in the published literature, (b) may have significant effects on the psychometric performance of the items, scale factors, and the overall integrity of the scales, and © infringe on copyrighted intellectual property. Users may create their own site-specific items, when they deem it necessary to do so, and administer such supplementary items separately as a part of a battery of measures.

The measures have been adopted in quality assurance, evaluation research, and services research studies across a wide range of health and human service programs and interventions. Service settings studied include outpatient and inpatient mental health facilities, public health center clinics, primary care health clinics, health maintenance organizations, patients with anorexia and bulimia, employee assistance programs, mandatory short term alcohol abuse treatment programs, residential alcoholism treatment programs, community-based residential care, case management for the individuals with severe mental disorder, educational services, legal services, and with AIDS self-support and psycho-educational groups. The CSQScales® are widely used also by research scientists who are studying the efficacy and effectiveness of interventions and treatments or who are evaluating systems of care.

Using sampling and time-series methods, satisfaction levels can be compared across different service modalities, duration of service, or types of clients, providers, and specific facilities. The CSQScales® are used in all levels of primary care, mental health care, and other human services. In using any consumer satisfaction measure, perhaps the most important validity consideration is designing procedures to obtain high response rates to minimize biases attributable to non-response.

  • Direct reports are elicited from adolescents and adults.
  • Parents and caretakers are often respond with regard to services provided to children and dependent persons. Special versions are available for parent-rated data collection.
  • Aural administration is used for individuals with reading limitations, the blind, or other handicapped or restricted populations.
  • Attkisson, C.C. (2019). The CSQScales® Reprint Portfolio. Chicago, IL: Tamalpais Matrix Systems, LLC. [CD-R or electronic link available for purchase on this web site].
  • Attkisson, C.C., & Zwick, R. (1982). The Client Satisfaction Questionnaire: Psychometric properties and correlations with service utilization and psychotherapy outcome. Evaluation and Program Planning, (593), 233-237.
  • Attkisson, C.C., & Greenfield, T.K. (2004). The UCSF Client Satisfaction Scales: I. The Client Satisfaction Questionnaire-8. In M. Maruish (Ed.), The use of psychological testing for treatment planning and outcome assessment (3rd. Ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
  • Attkisson, C.C., & Greenfield, T.K. (1996). The Client Satisfaction Questionnaire (CSQ) Scales and the Service Satisfaction Scale-30 (SSS-30). In L.I. Sederer & B. Dickey (Eds.). Outcome assessment in clinical practice. Baltimore: Williams & Wilkins.
  • Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197-207.
  • Greenfield, T.K., & Attkisson, C.C. (2004). The UCSF Client Satisfaction Scales: II. The Service Satisfaction Scale-30. In M. Maruish (Ed.), The use of psychological testing for treatment planning and outcome assessment (3rd. Ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
  • LeVois, M.E., Nguyen, T.D., & Attkisson, C.C. (1981). Artifact in client satisfaction research: Experience in community mental health settings. Evaluation and Program Planning, 4, 139-150.
  • Nguyen, T.D., Attkisson, C.C., & Stegner, B.L. (1983). Assessment of patient satisfaction: Development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 6(3&4), 299-314.
  • Pascoe, G.C., Attkisson, C.C., & Roberts, R.E. (1983). Comparison of indirect and direct approaches to measuring patient satisfaction. Evaluation and Program Planning, 6(3&4), 359-371.
  • Roberts, R.E., Pascoe, G.C., & Attkisson, C.C. (1983). Relationship of service satisfaction to life satisfaction and perceived well-being. Evaluation and Program Planning, 6(3&4), 373-383.