Granite Wellness Centers: Client Satisfaction Survey Question Title * 1. Which program are you enrolled in? Adolescent Services Residential Detox Outpatient Mothers in Recovery Intensive Outpatient (IOP) DUI Other (please specify) Question Title * 2. Length of time in treatment (Select all that apply) 0-30 days 31-60 days 61-90 days Over 90 days Question Title * 3. Which category below includes your age? Under 18 18-29 30-39 40-49 50-59 60-69 70+ Question Title * 4. Are you male or female? Male Female Question Title * 5. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race? White Black or African-American Hispanic American Indian or Alaskan Native Asian Native Hawaiian or Pacific Islander From multiple races Question Title * 6. Are you a parent? Yes No Question Title * 7. How many children do you have? 1 2 3 4 5 6+ Question Title * 8. What are the ages of your children? 0-2 3-5 6-12 13-17 18+ Other (please specify) Question Title * 9. Do you feel that you were treated with courtesy and respect by staff? Poor Fair Good Very Good Excellent Question Title * 10. How would you rate the staff's attention to privacy and confidentiality? Poor Fair Good Very Good Excellent Question Title * 11. Were you given the opportunity to participate in decisions about your treatment? Poor Fair Good Very Good Excellent Question Title * 12. Is the facility environment safe, clean, and comfortable? Poor Fair Good Very Good Excellent Question Title * 13. Were your financial responsibilities explained clearly to you? Poor Fair Good Very Good Excellent Question Title * 14. How would you rate the overall quality of services you received? Poor Fair Good Very Good Excellent Question Title * 15. Was your sustained recovery plan and Alumni Program reviewed with you by your counselor? Poor Fair Good Very Good Excellent Question Title * 16. My ability to communicate has improved due to my knowledge of motivational interviewing: Poor Fair Good Very Good Excellent Question Title * 17. My level of awareness of the stages of change is: Poor Fair Good Very Good Excellent Question Title * 18. Please rate the skills and tools you learned in the program. Poor Fair Good Very Good Excellent Question Title * 19. Please rate your group experience. Poor Fair Good Very Good Excellent Question Title * 20. Please rate your primary counselor. Poor Fair Good Very Good Excellent Question Title * 21. Who is your primary counselor? Question Title * 22. Do you have a primary care physician? Yes No Question Title * 23. When was your last primary care visit? 1 - 5 months 6months - 1 year 2 - 5 years 6+ years Never Question Title * 24. If someone you know needs recovery services, would you recommend them to our program? Yes No Question Title * 25. Were Granite Wellness Centers staff effective in letting you know about community resources? Yes No Question Title * 26. What was the most helpful to you in your experience at GWC? Question Title * 27. How can we improve our services? Question Title * 28. At which location(s) do you receive services? Auburn Campus Mothers In Recovery Auburn Campus Outpatient Auburn Campus Residential Grass Valley Campus Hope House Womens Residential Treatment Kings Beach Service Center Lincoln Service Center Lovett Recovery Center Roseville Campus Outpatient Serenity House Mens Residential Treatment Truckee Service Center Done