100% of survey complete.

For each item, mark the response that best answers the question "Am I Satisfied?".

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* Name (OPTIONAL)

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* Date

Date

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* LOCATION

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* Time of Survey

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* Your Age:

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* Gender

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* Race:

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* HOW SATISFIED ARE YOU WITH THESE ACTIVITIES / SERVICES?

  Least Satisfied Most Satisfied
1. Admission to Program
2. Walking and Exercise
3. Education Groups
3.a Spirituality
3.b Intellectual
3.c Emotional
3.d Social
3.e Physical
4. Process Groups
5. Assignment Presentation / Written Assignments
6. Disease and Relapse Prevention
7. Contact with Residential Manager
8. Contact with Primary Counselor
9. Family Sessions
10. Codependency / Boundaries
11. Assertive Communication Skills
12. Stress / Anxiety Management Tools
13. Outside 12-Step Meetings (AA, NA, CA)
14. Recreational Activities
15. Journal Writing
16. Meditation
17. Equine Therapy

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* SERVICES

  Strongly Disagree Disagree Neutral Agree Strongly Agree N/A
18. Yoga
19. Art Therapy
20. One on One Therapy
21. I like the services that I receive from RR.
22. I feel like I have a say in my treatment.
23. RR staff have helped me set goals for myself.
24. I receive the kinds of services that I want and need.
25. RR staff returned my calls.
26. Services were available at times that were good for me.
27. Staff believe that I can grow, change and recover.
28. I feel comfortable asking questions about the services, or treatment.
29. I feel free to complain when I am not satisfied.
30. I was given information about my rights.
31. Staff respect my wishes about confidentiality.
32. RR staff help me obtain information I need concerning my recovery.
33. My RR counselors listen to what I have to say.
34. My RR counselors help me to set goals for myself.
35. I participate in my treatment planning.
36. I deal more effectively with daily problems.
37. I am better able to control my life.
38. I am better able to deal with crisis.
39. Staff are sensitive to my cultural / ethnic background (race, religion, language, etc.)
40. I am getting along better with my family.
41. I do better in social situations.
42. I do better in school and/or work.
43. I feel I am coping with life better.
44. I am involved in my community (for example, Church, volunteering, sports, support groups, work, etc.)
45. I can have the life I want, despite my disease/disorder.
46. I feel like I am in control of my treatment.
47. My wishes are respected about the amount of family involvement I want in my treatment.
48. I give back to my family and/or community.
49. The services I receive are helping to resolve my problem(s).
50. I would recommend RR to a friend or a family member.

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* Were you given the opportunity to meet with the Chef regarding your needs?

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* If anything, what would you like to see Ridgeview Ranch offer in the future to address your needs?

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