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Granite Wellness Centers: Client Satisfaction Survey

1.Which program are you enrolled in?
2.Length of time in treatment (Select all that apply)
3.Which category below includes your age?
4.Are you male or female?
5.Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?
6.Are you a parent?
7.How many children do you have?
8.What are the ages of your children?
9.Do you feel that you were treated with courtesy and respect by staff?
10.How would you rate the staff's attention to privacy and confidentiality?
11.Were you given the opportunity to participate in decisions about your treatment?
12.Is the facility environment safe, clean, and comfortable?
13.Were your financial responsibilities explained clearly to you?
14.How would you rate the overall quality of services you received?
15.Was your sustained recovery plan and Alumni Program reviewed with you by your counselor?
16.My ability to communicate has improved due to my knowledge of motivational interviewing:
17.My level of awareness of the stages of change is:
18.Please rate the skills and tools you learned in the program.
19.Please rate your group experience.
20.Please rate your primary counselor.
21.Who is your primary counselor?
22.Do you have a primary care physician?
23.When was your last primary care visit?
24.If someone you know needs recovery services, would you recommend them to our program?
25.Were Granite Wellness Centers staff effective in letting you know about community resources?
26.What was the most helpful to you in your experience at GWC?
27.How can we improve our services?
28.At which location(s) do you receive services?