Question Title

* 1. I like the services that I receive here.

Question Title

* 2. NRVCS is my choice of provider, even with other options available in the area.

Question Title

* 3. I would recommend this agency to a friend or a family member.

Question Title

* 4. The location of services is convenient (parking, public transportation, distance, etc.)

Question Title

* 5. Staff here believe that I can grow, change, and recover.

Question Title

* 6. I feel comfortable asking questions about my services, treatment and/or medication.

Question Title

* 7. I feel free to complain about my services.

Question Title

* 8. I was given information about my rights.

Question Title

* 9. Staff help me get the information I need to better manage my problems.

Question Title

* 10. Staff support me in making my own decisions.

Question Title

* 11. Staff are sensitive to my upbringing and beliefs, and are accepting of those.

Question Title

* 12. I feel I have made progress with the needs that lead me to seek care.

Question Title

* 13. Please list one thing you would improve about your services at NRVCS.

Question Title

* 14. Many people have trouble with reading or writing, or both. Is this something that you struggle with?

Question Title

* 15. If you answered “Yes” to the question above, have you been offered help with this issue?

Question Title

* 16. If you answered “No” to the question above (Question #15), would you be interested in getting help?

Question Title

* 17. Is English your first language?

Question Title

* 18. Do you struggle with talking to, or understanding, your counselor at NRVCS?

Question Title

* 19. If you answered "Yes" to the question above, have you shared this struggle with your counselor?

Question Title

* 20. If you answered “Yes” to the question above, have you been offered help with this issue?

Question Title

* 21. If you answered "No" to Question #19, would you be interested in getting help with this issue?

Question Title

* 22. Please provide any additional comments or feedback that you would like to share.

Please also provide your name and the best way to contact you if you answered "Yes" to Questions #16 and/or #21 so that we can get in touch with you about additional help and resources.

T