We value your input and welcome your honesty in completing this satisfaction survey. Please complete our survey by selecting an answer that best communicates your opinion. After completing the questions, please provide additional comments and suggestions in the space provided.  Please indicate the number that represents your opinion using the following legend:

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* 1. Date

Date

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* 2. Location

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* 3. Race

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* 4. Age

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* 5. Gender

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* 6. Time in the Program

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* 7. I got into the program quickly.

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* 8. Getting into the program was easy.

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* 9. The people who helped me get into the program were nice.

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* 10. I understand the program rules and what happens if I don't follow them.

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* 11. I understand how the program works.

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* 12. I received Orientation within 15 days of my assessment 

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* 13. People who work here care about what I think.

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* 14. I am encouraged to give my opinion about my treatment and this program.

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* 15. There are several different ways to offer feedback about the program.

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* 16. My counselor is interested in what I think about the program.

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* 17. I know how my opinion is used to improve the program and services.

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* 18. I am treated with dignity and respect.

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* 19. My rights were clearly explained to me.

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* 20. If something happens that I don't like, I know how to file a complaint.

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* 21. I have never felt threatened or have been mistreated.

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* 22. My problems and needs are understood.

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* 23. I feel my counselor listens to my problems without judging me.

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* 24. If I have a new problem or need, there are ways to communicate to staff.

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* 25. I understand why I am asked questions about my problems.

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* 26. I feel respected when people ask me about my life and problems.

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* 27. I know the goals of my treatment plan.

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* 28. I helped create the goals on my treatment plan.

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* 29. My treatment plan is based on my needs.

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* 30. I review my treatment plan on regular basis.

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* 31. My treatment plan is changed when things change in my life.

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* 32. I would recommend this program to my family and friends.

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* 33. My counselor cares about me.

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* 34. My counselor understands my problems, my needs, and my goals.

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* 35. Everybody who works on my case cares about me.

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* 36. I am encouraged to get my family involved in my treatment.

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* 37. My life has improved since entering this program.

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* 38. I am doing better in school, work, and/or daily activities.

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* 39. My family life has improved.

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* 40. I am involved in social activities that support my treatment.

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* 41. I am better at handling stress.

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* 42. My religious and spiritual beliefs/practices are respected.

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* 43. The staff has a good understanding of my social and family background.

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* 44. The staff communicates with me in a way that I can understand.

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* 45. I feel that staff understands my beliefs about life and my treatment.

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* 46. I feel the program is sensitive to people's beliefs and differences.

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* 47. SCS treats all people equally.

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* 48. I believe that SCS values my personal health and safety.

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* 49. You receive your services via

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