Wyoming Department of Health Adult Consumer Survey 2019
To provide the best possible mental health and substance use treatment services, we would like to know what you think about the services you are receiving. Your answers will be kept confidential and will be used to improve future services.

Thank you for taking the time to complete this survey!

What agency are you receiving services from? *
Services Received Here During the Past 12 Months: *
Required
Age (in years)
Your answer
Sex
Race
Ethnicity
Approximately how long have you been a client of this Agency?
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