Treatment Satisfaction Survey Question Title * 1. Where are you receiving services? (Choose all that apply) Moran Center - Stockwell Rd. Stepping Stone Moulton Center - Barker Ave. Princeton Mt. Vernon Boonville Spear Building Community Support Services (CSS) In Home/Community (Child/Family) In Home/Community (Adult Only) Youth Day Treatment Question Title * 2. What kind of services are you receiving? (Choose all that apply) Individual Therapy Group Therapy Medications Case Management Skills Training Residential Treatment Other (please specify) Question Title * 3. How long have you been receiving services at Southwestern? Less than 1 month Between 1 and 3 months Between 3 and 6 months Between 6 months and 1 year More than 1 year Question Title * 4. You need to be in treatment now Disagree Strongly Disagree Uncertain Agree Agree Strongly Question Title * 5. This treatment program/service gives you hope for recovery Disagree Strongly Disagree Uncertain Agree Agree Strongly Question Title * 6. You are attending treatment only because it is required Disagree Strongly Disagree Uncertain Agree Agree Strongly Question Title * 7. You are satisfied with the services you are receiving Disagree Strongly Disagree Uncertain Agree Agree Strongly Question Title * 8. You helped to create your goals and plan for treatment Disagree Strongly Disagree Uncertain Agree Agree Strongly Next