Substance Abuse Treatment
Consumer Satisfaction Survey
Male or Female *
Age *
How hesitant were you at the start of Substance Abuse Treatment? *
PRIOR TO RECEIVING SERVICES, how often did you engage in substance use? *
WHILE ENGAGED IN SERVICES, how often did you engage in substance use? *
How would you rate the quality of services provided to you?
Please describe any dissatisfaction.
Your answer
How useful was the information and activities presented and used throughout treatment? *
Have the services you received helped you to deal more effectively with your drug/alcohol problem or ability to not use drugs/alcohol? *
If you had to re-engage in services, would you return back to Inner Circle, Inc.? *
Please add any other comments or suggestions that you would like to share regarding your counselor, the agency, and/or services being provided.
Your answer
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