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Client Input Survey

At SeaView, our highest priority is to meet the needs of our clients.  For us, one of the ways we do this is with clients surveys. There is nothing you cannot say or discuss.  Your responses are anonymous and provide information to the organization's leadership.  In no way does your opinion affect your treatment or the goals we have mutually decided on.  We value what your say.  Your opinions will help our leadership make decisions in the future.  

Thank you for your participation.  
1. Gender *This question is required.
2. Are you White, black, or African American, American Indian or Alaska Native, Asian, Hispanic/Latino, Native Hawaiian or other Pacific Islander, or some other race? *This question is required.
3. What location are you receiving services at? *This question is required.
4. How long have you been receiving services at this location? *This question is required.
5. I got into the program quickly and easily. *This question is required.
6. The people who helped me get into the program were friendly and helpful. *This question is required.
7. I felt welcomed when I arrived for services and the orientation process gave me the information I needed to understand how the program works. *This question is required.
8. The rules of the program are applied equally to all persons in the program. *This question is required.
9. The program treats all people equally and provides an environment of dignity and respect. *This question is required.
10. My counselor/therapist is interested in what I think about the program. *This question is required.
11. My counselor/therapist understands my problems, my needs, and my goals. *This question is required.
12. My counselor/therapist is knowledgeable and skillful. *This question is required.
13. The program is sensitive to people's beliefs and differences. *This question is required.
14. When people ask me about my life and my problems, I feel safe and respected. *This question is required.
15. I am aware of my treatment plan and given tasks and assignments to achieve treatment plan goals. *This question is required.
16. I am working with my counselor/therapist on a discharge plan that will support my recovery when I leave treatment. *This question is required.
17. I am receiving education about mental health or substance use disorder? *This question is required.
18. I am receiving education about my medications, including expected results and possible side effects (check N/A if not on any medication). *This question is required.
19. I feel safe from physical harm when participating in services. *This question is required.
20. I have never felt threatened by other program participants while receiving treatment. *This question is required.
21. My life has improved since entering the program. *This question is required.
22. My family has been involved in treatment and I am seeing an improvement in those relationships. *This question is required.
23. I would recommend this program to others. *This question is required.
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