COVID-19 Mitigation Strategies

Demographic Information

This section provides us with information to correlate which policies work best depending upon modality and location. Your information is confidential and will be use ONLY to tabulate preferences given modality, size of program and location of program.

Question Title

1. What types of services does your company provide (you may select all that apply):

Six-bed residential

Over six bed residential

Outpatient

Question Title

2. Which county are you located in (If multiple counties please list)?

Question Title

3. What type of payment do you accept (check all that apply)?

Cash/private pay

Insurance

Drug Medi-Cal (non waiver county)

Drug Medi-Cal ODS (waiver county)

Question Title

4. Who is completing the survey today?

Program administrator or owner

Clinical Supervisor

Counselor

Other (please specify)

COVID-19 Mitigation Strategies

Demographic Information

Question Title

* 1. What types of services does your company provide (you may select all that apply):

Question Title

* 2. Which county are you located in (If multiple counties please list)?

Question Title

* 3. What type of payment do you accept (check all that apply)?

Question Title

* 4. Who is completing the survey today?

1. What types of services does your company provide (you may select all that apply):

2. Which county are you located in (If multiple counties please list)?

3. What type of payment do you accept (check all that apply)?

4. Who is completing the survey today?