Client Survey

Are you or your child currently involved with services?*

Overall, how would you rate the quality of service you received:

How much were you involved with your treatment plan?

How well did the service meet your needs?

How polite were staff members towards you?

You came to our program with certain problems. How are those problems now?

Name of primary staff person who helped you (optional):
Today's date:
/ /
Please check here if you would like someone from Catalyst to contact you for follow-up (be sure to include your name below).
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New Beginnings Drug and Alcohol Treatment

Progress Industries

Janitorial and Custodial Services