Patient Satisfaction 2017

What program do you participate in?

Question Title

* 1. What program do you participate in?

Methadone/Subutex

Mental Health Recovery

Substance Use Recovery

Other

Unsure

Length of time participated in program

Question Title

* 2. Length of time participated in program

less than 3 months

3-6 months

7-11 months

1-2 years

more than 2 years

Age

Question Title

* 3. Age

18-21

22-29

30-39

40-49

50-59

60+

For each item below, indicate the number that best fits your level of agreement.
Recovery refers to both mental health and substance use recovery.

Question Title

* 4. For each item below, indicate the number that best fits your level of agreement.
Recovery refers to both mental health and substance use recovery.

	N/A	Agree 5	4	3	2	Disagree 1
I am treated with dignity and respect	I am treated with dignity and respect N/A	I am treated with dignity and respect Agree 5	I am treated with dignity and respect 4	I am treated with dignity and respect 3	I am treated with dignity and respect 2	I am treated with dignity and respect Disagree 1
I feel safe when at NHTS or on the property	I feel safe when at NHTS or on the property N/A	I feel safe when at NHTS or on the property Agree 5	I feel safe when at NHTS or on the property 4	I feel safe when at NHTS or on the property 3	I feel safe when at NHTS or on the property 2	I feel safe when at NHTS or on the property Disagree 1
My privacy is respected by all staff	My privacy is respected by all staff N/A	My privacy is respected by all staff Agree 5	My privacy is respected by all staff 4	My privacy is respected by all staff 3	My privacy is respected by all staff 2	My privacy is respected by all staff Disagree 1
The program treats all people equally	The program treats all people equally N/A	The program treats all people equally Agree 5	The program treats all people equally 4	The program treats all people equally 3	The program treats all people equally 2	The program treats all people equally Disagree 1
People who work here are willing to answer my questions	People who work here are willing to answer my questions N/A	People who work here are willing to answer my questions Agree 5	People who work here are willing to answer my questions 4	People who work here are willing to answer my questions 3	People who work here are willing to answer my questions 2	People who work here are willing to answer my questions Disagree 1
People who work here care about what I think	People who work here care about what I think N/A	People who work here care about what I think Agree 5	People who work here care about what I think 4	People who work here care about what I think 3	People who work here care about what I think 2	People who work here care about what I think Disagree 1
The building is clean and well maintained	The building is clean and well maintained N/A	The building is clean and well maintained Agree 5	The building is clean and well maintained 4	The building is clean and well maintained 3	The building is clean and well maintained 2	The building is clean and well maintained Disagree 1
The rules and procedures at NHTS are fair	The rules and procedures at NHTS are fair N/A	The rules and procedures at NHTS are fair Agree 5	The rules and procedures at NHTS are fair 4	The rules and procedures at NHTS are fair 3	The rules and procedures at NHTS are fair 2	The rules and procedures at NHTS are fair Disagree 1
If something happens that I do not like, I know how to file a complaint	If something happens that I do not like, I know how to file a complaint N/A	If something happens that I do not like, I know how to file a complaint Agree 5	If something happens that I do not like, I know how to file a complaint 4	If something happens that I do not like, I know how to file a complaint 3	If something happens that I do not like, I know how to file a complaint 2	If something happens that I do not like, I know how to file a complaint Disagree 1
Admission to NHTS was easy	Admission to NHTS was easy N/A	Admission to NHTS was easy Agree 5	Admission to NHTS was easy 4	Admission to NHTS was easy 3	Admission to NHTS was easy 2	Admission to NHTS was easy Disagree 1
I know the goals in my treatment plan	I know the goals in my treatment plan N/A	I know the goals in my treatment plan Agree 5	I know the goals in my treatment plan 4	I know the goals in my treatment plan 3	I know the goals in my treatment plan 2	I know the goals in my treatment plan Disagree 1
I helped created the goals in my treatment plan	I helped created the goals in my treatment plan N/A	I helped created the goals in my treatment plan Agree 5	I helped created the goals in my treatment plan 4	I helped created the goals in my treatment plan 3	I helped created the goals in my treatment plan 2	I helped created the goals in my treatment plan Disagree 1
I am comfortable asking questions about my treatment and medication(s)	I am comfortable asking questions about my treatment and medication(s) N/A	I am comfortable asking questions about my treatment and medication(s) Agree 5	I am comfortable asking questions about my treatment and medication(s) 4	I am comfortable asking questions about my treatment and medication(s) 3	I am comfortable asking questions about my treatment and medication(s) 2	I am comfortable asking questions about my treatment and medication(s) Disagree 1
My counselor listens and cares about me	My counselor listens and cares about me N/A	My counselor listens and cares about me Agree 5	My counselor listens and cares about me 4	My counselor listens and cares about me 3	My counselor listens and cares about me 2	My counselor listens and cares about me Disagree 1
I am encouraged to get my family involved in treatment	I am encouraged to get my family involved in treatment N/A	I am encouraged to get my family involved in treatment Agree 5	I am encouraged to get my family involved in treatment 4	I am encouraged to get my family involved in treatment 3	I am encouraged to get my family involved in treatment 2	I am encouraged to get my family involved in treatment Disagree 1
I feel I am on a stable does of methadone or subutex.	I feel I am on a stable does of methadone or subutex. N/A	I feel I am on a stable does of methadone or subutex. Agree 5	I feel I am on a stable does of methadone or subutex. 4	I feel I am on a stable does of methadone or subutex. 3	I feel I am on a stable does of methadone or subutex. 2	I feel I am on a stable does of methadone or subutex. Disagree 1
The methadone/subutex dosing system works well	The methadone/subutex dosing system works well N/A	The methadone/subutex dosing system works well Agree 5	The methadone/subutex dosing system works well 4	The methadone/subutex dosing system works well 3	The methadone/subutex dosing system works well 2	The methadone/subutex dosing system works well Disagree 1
NHTS prescribes psychiatric medications which work for me	NHTS prescribes psychiatric medications which work for me N/A	NHTS prescribes psychiatric medications which work for me Agree 5	NHTS prescribes psychiatric medications which work for me 4	NHTS prescribes psychiatric medications which work for me 3	NHTS prescribes psychiatric medications which work for me 2	NHTS prescribes psychiatric medications which work for me Disagree 1
I feel that my doctor listens to me	I feel that my doctor listens to me N/A	I feel that my doctor listens to me Agree 5	I feel that my doctor listens to me 4	I feel that my doctor listens to me 3	I feel that my doctor listens to me 2	I feel that my doctor listens to me Disagree 1
I have made progress towards my recovery goals	I have made progress towards my recovery goals N/A	I have made progress towards my recovery goals Agree 5	I have made progress towards my recovery goals 4	I have made progress towards my recovery goals 3	I have made progress towards my recovery goals 2	I have made progress towards my recovery goals Disagree 1
I would recommend NHTS to others in need of treatment	I would recommend NHTS to others in need of treatment N/A	I would recommend NHTS to others in need of treatment Agree 5	I would recommend NHTS to others in need of treatment 4	I would recommend NHTS to others in need of treatment 3	I would recommend NHTS to others in need of treatment 2	I would recommend NHTS to others in need of treatment Disagree 1

Patient Satisfaction 2017

Question Title

* 1. What program do you participate in?

Question Title

* 2. Length of time participated in program

Question Title

* 3. Age

Question Title

* 4. For each item below, indicate the number that best fits your level of agreement.
Recovery refers to both mental health and substance use recovery.

Question Title

* 5. What do you like the most about NHTS?

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* 6. What would you like to see improve at NHTS?

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* 7. Additional Comments

Question Title

* 1. What program do you participate in?

Question Title

* 2. Length of time participated in program

Question Title

* 3. Age

Question Title

* 4. For each item below, indicate the number that best fits your level of agreement. Recovery refers to both mental health and substance use recovery.

Question Title

* 5. What do you like the most about NHTS?

Question Title

* 6. What would you like to see improve at NHTS?

Question Title

* 7. Additional Comments

* 4. For each item below, indicate the number that best fits your level of agreement.
Recovery refers to both mental health and substance use recovery.