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Cuyahoga County Court of Common Pleas

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* 1. Select which program you are reviewing. (If you are enrolled in multiple programs, please complete a separate survey for each.) Thank you!

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* 2. I can get an appointment with my counselor when I need it.

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* 3. My counselor works with me to learn new skills.

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* 4. I am comfortable asking questions about the services I get.

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* 5. I am receiving services for the problems I need help with.

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* 6. The counselor asks for my input.

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* 7. The staff treats me with respect.

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* 8. My counselor understands my needs and abilities.

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* 9. The Program has helped me make positive changes in my life.

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* 10. I am satisfied with the services I received in the program.

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* 11. I am involved in creating my treatment plan and goals.

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* 12. Since being in the program, I have begun to take more responsibility for my own behavior.

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* 13. If I have a problem, I know whom to call at the Program for help.

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* 14. My appointments are in a convenient place.

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* 15. My appointments are at a convenient time.

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* 16. I would recommend this Program to others.

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* 17. If I wanted illegal drugs at the program, I could get them.

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* 18. Any comments? Are there any programs or services you feel you needed, but did not receive?

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