Carol’s Hope Discharge Questionnaire

1. The physical space of the facility and staff felt inviting and dignified. *

2. Staff did not use threats, bribes, or other forms of pressure to get me to do what they wanted. *

3. Staff were supportive and believed I could recover. *

4. Staff listened to me and respected my decisions about my referral options. *

5. Agency staff respected my decisions about my culture, ethnicity, lifestyles and interests. *

6. I enjoyed my overall experience in seeking treatment. *