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Patient Satisfaction Survey

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2. What is your age?
4. What is your gender?
5. Admission State
Space Cell Strongly AgreeAgreeDisagreeStrongly DisagreeN/A
The admission staff was responsive and answered my questions in a timely manner.
The admission procedure was hassle-free and not time-consuming.
Staff clearly explained the program’s rules and expectations.
Staff provided a program schedule, including group times, meal times, med pass times, and visiting hours.
Staff provided Patient Rights orientation.
Staff provided a tour of the facility including emergency exits.
6. Treatment Stage
Space Cell Strongly AgreeAgreeDisagreeStrongly DisagreeN/A
My treatment staff was accessible outside of group to discuss my progress in treatment.
My treatment team respected my wishes regarding involvement of family members and other concerned persons in my treatment.
My treatment team respected me as an individual, providing information which helped me to take charge of my own treatment.
I was involved in decisions about my treatment.
The staff is supportive and believes that I can grow, change, and improve.
I felt comfortable asking questions about my services, treatment, and/or medication.
The nursing staff was courteous, knowledgeable, and attentive to my medical needs.
The nursing staff addressed my health needs, including medications and emergency appointments, in a timely manner.
Staff was respectful and supportive, helping me to understand and follow program rules.
Facility food service provided was of sufficient quality, variety, and portion size, and attentive to any special dietary needs.
The facility was clean and comfortable.
I felt safe and secure during my time at this facility.
Since I have started the program my substance use has decreased.
Since starting the program I have become more optimistic about my future.
Since starting the program, my use of illicit opioids has decreased .
7. Overall Satisfaction
Space Cell Strongly AgreeAgreeDisagreeStrongly DisagreeN/A
I have a better understanding of my illness and am better equipped to manage my treatment.
Overall, I was satisfied with the services I received.
If I were to ever need treatment again, I would want to come back to this program.
If a friend or family member was in need of similar help, I would recommend this program.
8. Discharge
Space Cell YesNoStill in treatment
At the time of discharge, I was provided with a continuing care plan.
At the time of discharge, I was referred to appropriate after care.