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* 1. I am satisfied with the referral process (locating treatment)

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* 2. It was easy to find the facility

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* 3. The staff did a good job in reference to customer service

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* 4. I received feedback from staff regarding services quickly

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* 5. All of my questions were answered during intake

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* 6. I feel safe in the enviroment

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* 7. I am likely to recommend your organization to someone needing services

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* 8. I have been treated with dignity and respect

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* 9. I am satisfied with the program orientation

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* 10. My expectations in reference to admission were fully met

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* 11. Please provide us with comments and feedback about this program

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