1.Were you satisfied with the service or programs that you participated in?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

2.Were you informed of your rights and consumer grievance procedure?

Yes, it was included in my intake packet

No, I did not receive a copy

I don't recall

3.Were you involved in the development and review of your treatment plan?

Never

Rarely

Sometimes

Usually

Always

4.Were your services or programs helpful?

Yes

No

If NO, (please specify)

5.What do you recommend to improve services?