Your feedback is important to us. Please take a moment to tell us how we are doing:

Select the answer that describes whether you agree or disagree with the following 10 statements:

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* 1. The physical space of my program (the lobby, waiting rooms, etc) feels inviting and dignified.

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* 2. Staff welcome me and help me feel comfortable.

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* 3. Staff listen to me and respect my decisions about my treatment and care.

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* 4. Staff help me to include people who are important to me in my recovery/treatment planning (such as family, friends, clergy, etc).

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* 5. Staff regularly ask me about my interests and things I like to do in my community.

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* 6. Staff listen and respond to my cultural experiences, interests, and concerns.

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* 7. Staff believe I can recover.

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* 8. Staff talk with me about what it would take to complete or exit my program.

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* 9. Staff help me keep track of the progress I am making towards my personal goals. 

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* 10. Staff work hard to help me fulfill my goals.

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* 11. Optional: Tell us what program you are participating in

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