Exit Evaluation Question Title * 1. Date on Exit Evaluation Date / Time Date Question Title * 2. Which program did you participate in? Residential Adult Outpatient Youth Outpatient General Mental Health Yakutat Harbor Lights Family Center (SED) Question Title * 3. Overall rating of services received? Excellent Good Fair Poor Unsatisfactory Excellent Good Fair Poor Unsatisfactory Question Title * 4. What I especially liked was: Question Title * 5. What I disliked was: Question Title * 6. Overall rating of care from clinicians/counselors/case managers: Excellent Good Fair Poor Unsatisfactory Excellent Good Fair Poor Unsatisfactory Question Title * 7. Care I especially liked were? Question Title * 8. Improvement is needed in? Question Title * 9. Overall rating of groups: Excellent Good Fair Poor Unsatisfactory Excellent Good Fair Poor Unsatisfactory Question Title * 10. Groups I especially liked were? Question Title * 11. Groups that need improvement are? Question Title * 12. Overall rating of Sitka Counseling facilities: Excellent Good Fair Poor Unsatisfactory Excellent Good Fair Poor Unsatisfactory Question Title * 13. I especially noticed? Question Title * 14. Name of your primary counselor? Name of person who completed intake/assessment? Question Title * 15. RECEPTION: Was the receptionist polite? Were they helpful? Did you receive the information and services you were seeking? Question Title * 16. INTAKE: Was the intake staff polite and helpful? Was the process made clear to you? Did you feel your questions were answered? Question Title * 17. FINANCE/BILLING: Were you adequately informed of your financial responsibility? Was the billing procedure explained to your satisfaction? Question Title * 18. COUNSELING: Was your counseling staff well informed about your mental health and substance abuse issues? Did you feel your counseling staff was attentive to your individual needs and concerns? Did he/she perform in a professional and responsible manner? Did he/she work with your family, employer, and any other persons who were involved in your treatment process? Did you feel you were adequately informed of what was expected of you? Question Title * 19. OTHER SESSIONS: Were the sessions interactive and thorough? Was the staff well informed? Did you feel your questions were answered? Question Title * 20. Number of months you received services at Sitka Counseling? Question Title * 21. Did the court system or an attorney refer you? Yes No Question Title * 22. If no to above question, who referred you? Question Title * 23. Do you feel you benefited from the services you received? Why or why not? Yes No Yes No Other (please specify) Question Title * 24. How do you plan to maintain your recovery proram? Question Title * 25. Other Comments: Done