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Pathway to Care and Recovery Client Experience Survey
We are interested in hearing about your experience at Pathway to Care and Recovery. Please mark how much you agree or disagree with the following statements (choose one response for each question):
1.
The staff at Pathway to Care and Recovery helped me connect to the service(s) that are right for me.
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
2.
The staff at Pathway to Care and Recovery involved me in decisions about my care and what service(s) I receive.
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
3.
The staff at Pathway to Care and Recovery treats me with respect.
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
4.
I feel safe at Pathway to Care and Recovery
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
5.
I would recommend Pathway to Care and Recovery to others.
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree
6.
What is your race?
American Indian or Alaska Native
Asian or Asian American
Black or African American
More than One Race
Native Hawaiian or other Pacific Islander
White
Other
Prefer Not to Answer
7.
Are you of Hispanic Ethnicity?
Yes
No
Prefer Not to Answer
8.
What is your Age (years)
9.
What is your Gender Identity?
Female/cisfemale
Male/cismale
Intersex
Nonbinary
Transfemale
Transmale
Other
Prefer Not to Answer
10.
How did you hear about Pathway to Care and Recovery?
Website
Walk-in
Connect Protect Recover
My Treatment Provider
Social Media
Other (please specify)
11.
Is there anything else you would like to mention about Pathway to Care and Recovery that is not already discussed in this survey?
