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* 1. Which program are you currently enrolled in?

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* 2. Which location do you attend for services?

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* 3. What is the format for most of the treatment you receive?

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* 4. After contacting the program, did you receive an appointment as quickly as you needed it?

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* 5. Was the therapist you met with able to meet your needs?

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* 6. Did you meet with a Psychiatrist or Advance Practice Nurse (APN) who was able to meet your needs?

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* 7. Does your treatment team explain things in a way you can understand?

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* 8. Does your treatment team listen, support and reassure you?

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* 9. Does your treatment team explain what your medicines are for and possible side effects?

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* 10. Are you involved in treatment decisions as much as you would like to be?

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* 11. Does your treatment team help you manage problems that are most important to you on your own?

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* 12. When calling the agency or checking in for an appointment, are you treated with courtesy and respect?

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* 13. Is the space in which you see your treatment team clean and comfortable?

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* 14. How long have you been enrolled in your program?

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* 15. Would you recommend your program to others?

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* 16. Did anyone help you complete this survey?

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* 17. Is there anything you would like to tell us about your care? (this can include strengths/limitations in all areas such as group topics, scheduling, billing, phone calls, etc.)

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* 18. What is your age?

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* 19. What is your race?

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* 20. With which gender do you most identify?

0 of 20 answered
 

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