Gilmore Community Healing Centers Discharge Questionnaire
Gilmore Community Healing Centers Discharge Questionnaire
1. The physical space of the facility and staff felt inviting and dignified.
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Strongly Agree
Agree
Disagree
Strongly Disagree
2. I feel my voice was heard and my questions were answered.
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Strongly Agree
Agree
Disagree
Strongly Disagree
3. Staff were supportive and believed I could recover.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
4. Staff listened to me and respected my decisions about my referral options.
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Strongly Agree
Agree
Disagree
Strongly Disagree
5. Agency staff respected my decisions about my culture, ethnicity, lifestyles and interests.
*
Strongly Agree
Agree
New Option
New Option
6. I enjoyed my overall experience in seeking treatment.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Submit
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