Rehab Review

Intake

 
 17% 
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.
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1. What is the name of the rehab you attended?
2. What brought you to rehab? How long were you there?
3. What factors mattered most to you when looking for a treatment facility? (Select all that apply.)
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4. On a scale of 1 to 5, how would you rate your overall experience?
5. Please describe your fellow residents. (Age, gender, race, sexual orientation, income, occupation, etc.)