Please help us to improve the services at Southwestern by answering this short survey about the services you received.

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* 1. Who was the primary client of treatment services at Southwestern?

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* 2. At which Southwestern location did you primarily receive treatment services?

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* 3. What kind of treatment services did you receive? (Choose all that apply)

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* 4. Why did you end your treatment at Southwestern?

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* 5. I was overall satisfied with the services I received at Southwestern.

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* 6. I helped to create my goals and plan for treatment.

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* 7. I was motivated and encouraged by my counselor.

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* 8. My counselor was always organized and prepared for our sessions.

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* 9. My counselor recognized the progress I was making in treatment.

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* 10. Support staff / Front desk staff were respectful and helpful to me.

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* 11. I have made significant progress with my problems as a result of my treatment at Southwestern.

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* 12. My relationships have improved as a result of my treatment at Southwestern.

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* 13. What other comments do you have about your treatment experience at Southwestern?

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