Genesis Programs Pre-Mid Feedback Survey

Facility Overview

Question Title

1. How did you first hear about the Genesis Program?

Word of Mouth

Insurance Company

Alumni

Internet

Medical Doctor

Therapist

Psychiatrist

Psychologist

Other (please specify)

Question Title

2. Please rate Genesis on how satisfied you are in the following areas.

	1(Satisfied)	2	3(Dissatisfied)
Architecture (e.g. parking, location, accessibility, accommodating group size, etc.)	Architecture (e.g. parking, location, accessibility, accommodating group size, etc.) 1(Satisfied)	Architecture (e.g. parking, location, accessibility, accommodating group size, etc.) 2	Architecture (e.g. parking, location, accessibility, accommodating group size, etc.) 3(Dissatisfied)
Environment (e.g. cleanliness, furniture, lighting, room decor, etc.)	Environment (e.g. cleanliness, furniture, lighting, room decor, etc.) 1(Satisfied)	Environment (e.g. cleanliness, furniture, lighting, room decor, etc.) 2	Environment (e.g. cleanliness, furniture, lighting, room decor, etc.) 3(Dissatisfied)
Employment (e.g. accommodations for work/school schedules, vocational referrals and assistance, etc.)	Employment (e.g. accommodations for work/school schedules, vocational referrals and assistance, etc.) 1(Satisfied)	Employment (e.g. accommodations for work/school schedules, vocational referrals and assistance, etc.) 2	Employment (e.g. accommodations for work/school schedules, vocational referrals and assistance, etc.) 3(Dissatisfied)
Transportation (e.g. provide information on public transportation, car pooling, alternative transportation etc.)	Transportation (e.g. provide information on public transportation, car pooling, alternative transportation etc.) 1(Satisfied)	Transportation (e.g. provide information on public transportation, car pooling, alternative transportation etc.) 2	Transportation (e.g. provide information on public transportation, car pooling, alternative transportation etc.) 3(Dissatisfied)
Community Integration (e.g. staff provided 12-step meetings schedule, Aftercare program information, Sober community activities, etc.)	Community Integration (e.g. staff provided 12-step meetings schedule, Aftercare program information, Sober community activities, etc.) 1(Satisfied)	Community Integration (e.g. staff provided 12-step meetings schedule, Aftercare program information, Sober community activities, etc.) 2	Community Integration (e.g. staff provided 12-step meetings schedule, Aftercare program information, Sober community activities, etc.) 3(Dissatisfied)

If you rated a 2 or 3 please specify