If you have received treatment services at ShareHouse and have not yet completed a survey, we would like your feedback on your experience.  Please answer the following questions to help us grow as an organization and to continue to provide quality services.  All responses are anonymous. 

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* 1. When did you receive services from us?

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* 2. The most beneficial part of my treatment experience was:

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* 3. I understood my rights and financial obligations as a participant in the program.

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* 4. I participated in developing my treatment goals.

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* 5. How prepared do you feel to be successful in obtaining the goals that brought you to our facility? (1 being the least successful and 10 being the most successful)

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* 6. My care and concerns were handled professionally and confidentially.

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* 7. The least helpful part of my treatment experience was:

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* 8. A suggestion for improvement is:

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* 9. Rate your overall experience with the services you received: (1 being the least satisfied and 10 being the most satisfied)

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* 10. I am satisfied with how ShareHouse accommodated by individual needs regarding religious/cultural beliefs, physical or mental impairments, etc.

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* 11. Additional comments:

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* 12. I received these types of services (SUD Evaluation, Residential, Recovery Living, Outpatient-PHP, Outpatient-IOP, Outpatient-LIOP, Continuing Care, Case Management). Please list all services you received:

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* 13. Primary staff I worked with: (Optional)

Thank you for completing this survey. 

This survey is anonymous unless you choose to leave your name. If you would like to be contacted by a member of the ShareHouse Leadership Team to further share your feedback, please leave your name and contact info below. 

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* 14. Name and contact info: (Optional)

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