Exit this survey Rehab Review Intake 17% of survey complete. What follows are 21 questions about your treatment experience. Please feel free to write as much or as little as you like (the various 1–5 ratings are mandatory) — and rest assured that all of your responses are totally confidential and anonymous. Question Title * 1. What is the name of the rehab you attended? Question Title * 2. What brought you to rehab? How long were you there? Question Title * 3. What factors mattered most to you when looking for a treatment facility? (Select all that apply.) Price Location Insurance Co-ed or men/women-only Gay-friendly Food quality Accommodations quality Treatment quality Religious affiliation (or lack thereof) Amenities and recreation opportunities Whether smoking was allowed Privacy Other (please specify) Question Title * 4. On a scale of 1 to 5, how would you rate your overall experience? 1 (terrible) 2 3 4 5 (excellent) Question Title * 5. Please describe your fellow residents. (Age, gender, race, sexual orientation, income, occupation, etc.) Next
