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* 1. What is your discharge date?

Date / Time

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* 2. Why did you choose to come to launch?

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* 3. How was your admissions process at launch?

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* 4. Did you choose to come to launch or was there an ultimatum by your housing, parents, the courts, etc?

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* 5. During your time at Launch do you feel that your clinical needs were met?

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* 6. Do you feel that you had a part in the development of your treatment plan?

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* 7. Were you given updates regarding your progress?

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* 8. How would you rate the communication between your clinical team and either your parents or sober living facility?

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* 9. Do you feel that you accomplished the goals you set at the beginning of treatment?

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* 10. If you had any concerns or feedback for the staff do you feel that you were heard?

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* 11. Regarding discharge, were you involved in your discharge planning?

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* 12. Were referrals made to help connect you to community providers?

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* 13. Do you have any specific feedback for the program or staff?

T