Treatment Survey Please rate the quality of treatment services overall that you received from Clearfork Academy.*DisappointingBelow AverageNeutralGoodExceptionalPlease rate the quality of the admission process.*DisappointingBelow AverageNeutralGoodExceptionalDid our team exemplify our core values...Transparency?YesNoHonor?YesNoFun?YesNoExcellence?YesNoSacrifice?YesNoLegacy?YesNoUnity?YesNoIf No, Please Specify Why BelowPlease rate the quality of communication you received from your therapist. (updates, progress, happenings)*DisappointingBelow AverageNeutralGoodExceptionalPlease rate the quality of your family counseling sessions.*DisappointingBelow AverageNeutralGoodExceptionalPlease rate your level of comfort and safety while with us.*DisappointingBelow AverageNeutralGoodExceptionalHow knowledgeable of your treatment goals were you?*DisappointingBelow AverageNeutralGoodExceptionalHow would you rate the success of your treatment goals?*DisappointingBelow AverageNeutralGoodExceptionalRelative to the time spent at CFA; What was the level of necessary skilled building, coping mechanism, to address family dynamics and stressors?*DisappointingBelow AverageNeutralGoodExceptionalRelative to the time spent at CFA; How well did we do addressing the challenges and issues surrounding your son’s dependency on substances.*DisappointingBelow AverageNeutralGoodExceptionalHow confident are you in completing your aftercare follow up plan?*Not ConfidentWe'll SeeIndifferentConfidentVery ConfidentIf below a (3) in confidence, what can we do to support you prior to leaving?How many of the family events were you able to participate in?Was there any part of our programs services that stood out for you, that we did well?What thing(s) could have been done to serve you and your family better?Your InformationClearfork Academy Client's Name First Last Admission Date Date Format: MM slash DD slash YYYY Discharge Date Date Format: MM slash DD slash YYYY Your Name First Last Your Email Address* Relation to PatientMotherFatherGuardianGrandparentSelfOther
