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Client Satisfaction Survey

Please try your best to fill out the form below. If you have any questions, please ask your client intake coordinator.

  • INTAKE - When you first called Rockland Treatment Center:

  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • THE PROGRAM:

  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • THE COUNSELORS:

  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • HOUSING & TRANSPORTATION:

  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • OTHER:

  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • ExcellentVery GoodGoodNeeds ImprovementPoor
  • This field is for validation purposes and should be left unchanged.
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