ATS Mobile Unit Community Survey
By filling out this survey you are helping ATS better understand the substance use disorder treatment needs in your community and how we can help support you.
1.
Name:
2.
County:
3.
Service Provider Category (Multiple Choice)
Healthcare Center
Hospital
Wellness Center
Nonprofit
Community Corrections
Other (please specify)
4.
What is the largest substance use disorder (SUD) need in your community?
5.
What does your community do well as it pertains to substance use disorder treatment?
6.
How can Addiction Treatment Services best support your community?
7.
Would you like to learn more about Addiction Treatment Services or become a collaborative partner?
Yes, please.
No, thank you.
8.
Contact Information (Email & Phone)
