Welcome to Sitka Counseling Survey

In order to improve behavioral health services, we need to know what you think about the treatment you received, the people who provided it, and the results of this treatment.
 
This survey is not confidential.  Please contact the Case Manager at 747-3636 if you wish to provide your responses by phone or mail.   You may choose to use your full name or initials.

Question Title

* 1. Date Completed

Date

Question Title

* 2. Initials (First two of first and last name, ex: MaBa) or Coded Identifier:

Question Title

* 3. Date of Birth:

T