PATIENT SATISFACTION FEEDBACK

In our efforts to monitor our program and improve our services, we ask you to take time to answer this questionnaire. We will use this evaluation to improve the quality of care that we deliver to all people we serve.

Rate Us Based On Your Experience. 1 Star for POOR and 5 Stars for EXCELLENT


ADMISSION

I was introduced to staff and fellow clients.

The admission process went smoothly and helped me become comfortable in the program.

I was informed and provided copies of my rights and responsibilities at the time of admission.

I was provided orientation, given a copy of orientation materials, and given the opportunity to ask questions about the program.


SAFETY

I felt safe here.

In the event that I did or that I felt like harming myself I could and did go to the staff and ask for help.


EDUCATION

I was educated about my medications from medical staff, including expected results and possible side effects

Check N/A if not taking any medications

I was educated about my substance abuse problems.

I received Relapse Prevention Education that will be beneficial for me after discharge.


TREATMENT PLANNING

I was made aware of my treatment plan and was given tasks and assignments to achieve treatment plan goal.

I had an opportunity to give input about my treatment plan.

I met weekly with the primary counselor to review my treatment plan and/or progress in meeting my treatment plan goals.

In treatment, I worked on the issues that were identified as important to me.

My treatment needs were understood by staff.


COUNSELOR’S COMPETENCY

The counselors who led treatment groups seemed knowledgeable and skillful.

My counselor seemed knowledgeable and skillful.

I had an individual session with my counselor on a weekly basis.


CONTINUITY OF CARE

I received all of the treatment services I needed.

I feel as though I can continue to get support from this facility should I need it.

My Continuing Care Plan was formed specifically to suit my personal needs.


RATE YOUR EXPERIENCE OF THE FOLLOWING

Community Living

Counseling Staff

Therapy groups

Administrative staff

Activity therapy

Individual Therapy

The facility was clean and neat

My dietary needs were met.

My medical needs were adequately addressed.

Overall rating of facility


OVERALL IMPRESSIONS

I would recommend this program to people I care about.