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DCCCA Client Satisfaction Questionnaire

4.Directions

The following questions ask about you, your experience in DCCCA's Treatment Program(s), the staff, and your access to the internet, e-mail and other technologies.

Please take a few minutes to answer these questions.

Your answers are completely anonymous. No one will know how you answered any question.
1.What DCCCA Treatment Program did you just completed?(Required.)
2.What is your gender?
3.What is your age?
4.What race/ethnicity do you consider yourself to be?
5.What is your approximate annual household income?
6.Are these situations now better, about the same, or worse than they were before you entered this treatment program?
Better
About the Same
Worse
School or Work
Family Relations
Legal Situation
Mental Health
Physical Health
7.Do you now use alcohol and/or other drugs more, about the same, or less than you did before you entered this treatment program?
More
About the same
Less
I never used this substance
Alcohol
Drugs
8.Is this treatment program better, about the same, or worse than other treatment programs you have been in?
9.Overall, how satisfied are you with this treatment program?
10.How long were you in this treatment program?
11.How much did your family participate in your treatment?
12.How many times have you been in treatment before coming to this program?
13.The following questions ask about your experience with DCCCA's staff and your treatment.
Yes
I’m not sure.
No
Did you get your first appointment in a timely manner?
Did you meet your counselor within 24 hours of coming to the program?
Were you treated courteously by the staff?
Were the instructions clear about who to see, when and where?
Was your counselor on time for your appointments?
Do you think your counselor did a good job as your counselor?
Did you participate in developing your treatment plan?
Did you understand your treatment plan?
Did your treatment meet your needs, as identified in your assessment?
Were you given a phone number and contact person to use if you have a problem or complaint?
14.If you paid a fee for treatment, was the fee determined in a way that was fair and understandable?
15.What information source did you use to choose DCCCA as your treatment provider? (Check all that apply).
16.Do you have any other comments, suggestions or questions?
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