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Treatment Completion Exit Survey

About Your Visit

Please take a moment to answer a few questions about your experience with our Lea County Health & Wellness Department. All feedback is completely anonymous and is used for the purposes of improving our services.

1. When did you complete treatment? *This question is required. This question requires a valid date format of MM/DD/YYYY.

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3. Please select the option that was most accurate for you. *This question is required.

Space Cell	Does not apply	Not true	Somewhat true	Mostly true	Very true
I am less likely to drink and/or use other substances.
I am less likely to drive after drinking and/or using other substances.
I believe that my treatment recommendation was too hard.
I believe that my treatment recommendation was too easy.
The treatment curriculum information or skills were adequately covered.
I believe that session times were too long.
Overall, my treatment experience was positive (I was able to obtain new information or skills to address the reason for my initial visit).