Treatment Services Satisfaction Questionnaire

Please choose one response for the following questions:

Very Satisfied Satisfied Undecided Dissatisfied Very

Dissatisfied1. How satisfied are you with your personal level of progress in Substance Abuse groups?2. How satisfied are you with the helpfulness of your provider?3. How satisfied are you with the presentation of information (handouts, worksheets, videos, etc.)?4. How satisfied are you with your level of comfort in Substance Abuse groups?

Please choose Yes or No for the following questions:

5. Do you feel you need more information about a specific mental illness?Yes No

6. Have you ever been in a substance abuse treatment program outside of Florida State Hospital? Yes No

7. Are you satisfied with Substance Abuse Treatment Groups? Yes No

Comments:_________________________________________________________________________________________________________________________________________________________________

Thank you for helping us to better serve you! 8. If you could see improvement in one area of Substance Abuse services which would it be? Please circle one. Psych–Education Life Skills Development Support Group Preventing Relapse Information (Monday) (Tuesday) (Wednesday) (Thursday)

The Treatment Department wants your opinion on Substance Abuse Services and how we can better meet your recovery needs. Please be honest with your answers, they are confidential!