Recovery Program Solutions of Virginia Service (RPSV) Survey

Survey Demographics

Thank you for taking the time to complete the RPSV Recovery Services Participant Feedback Survey.

The purpose of this survey is to hear about your experience with RPSV services. Your feedback is very important to us, as we want to serve you in the best way that we can.

Questions 1-7 are optional

If you only participate in certain RPSV social programs and activities, please answer the questions based on your participation in these activities.

Question Title

* 1. Gender

Male

Female

Other

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* 2. Do you identify as LGBTQ?

Yes

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* 3. Age?

18-24

25-34

35-44

45-54

55-64

65-74

75 years or older

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* 4. Ethnicity

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Pacific Islander

Native American or American Indian

Another race

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* 5. Are you currently receiving any Mental Health and/or Substance Abuse services from the County?

Yes

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* 6. Have you been admitted to a psychiatric hospital any time in the past 12 months?

Yes

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* 7. Have you been in jail any time in the past 12 months?

Yes

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* 8. What center do you participate in services?

Arlington Peers Helping Peers in Recovery

The Consumer Wellness Center in Annadale

The Merrifield Peer Resource Center

The Reston Wellness Center

The South County Recovery and Drop In Center

Warm Line

Virtual Groups

Other

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* 9. How did you hear about us?

Friend

Website

Referral

Other (please specify)

None of the above