FREEDOM

THE ABILITY TO GO ABOUT YOUR EVERYDAY LIFE

Path to Recovery: Client Experience Survey

Thank you for participating in this confidential survey.

Your responses will help us improve our services and meet reporting requirements for our grant funding. This survey is anonymous and will take about 5 minutes to complete. Your honest feedback is greatly appreciated.

Instructions:

Please answer all questions to the best of your ability.
For multiple-choice questions, select the most appropriate answer.
For rating scales, circle the number that best represents your experience.

Section 1: Emergency Services and Hospitalizations

1. In the past 3 months, have you used emergency services (crisis hotline, ER visit)for behavioral health reasons? *

Yes

No

2. If yes, how many times?

3. In the past 3 months, have you been hospitalized for behavioral health reasons? *

Yes

No

4. If yes, how many times?

Section 2: Symptom Severity and Mental Wellbeing

5.Compared to when you started the program, how would you rate your currentmental health symptoms? *

6. How would you rate your overall quality of life now compared to when you startedthe program? *

Section 3: Employment and Education Status

7. Are you currently employed or enrolled in an educational program? *

Section 4: Housing Stability

8. Which best describes your current housing situation? *

Section 5: Daily Living Activities

9. Compared to when you started the program, how would you rate your ability to perform daily living activities (e.g., personal hygiene, household chores, managing finances)? *

Section 6: Program Satisfaction

10. How satisfied are you with the services you've received from Mathers Recovery? *

11. Would you recommend Mathers Recovery to others seeking behavioral health services? *

Yes

No

Unsure

Section 7: Demographic Information

13. Age: *

15. Gender: *

Male

Female

Non-Binary/Third Gender

Prefer Not to Say

If "Other," please list here:

17. Do you identify as a member of any of the following groups? (select all that apply) *

LGBTQIA+

Person with a Disability

Medicaid Eligible

Veteran

Other Underserved or Marginalized Community (please specify below):

None of the Above

If "Other Underserved or Marginalized Community," please list here:

18. Office Location *

Elgin

Fox Lake

Thank you for completing this survey.

Your feedback is valuable and will help us improve our services.

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FREEDOM: No Hospitalization or Rehabilitation Check In

We bring the treatment to our clients who live in their community. No checking into a hospital or an inpatient rehabilitation center. We provide the medications, consultations with an addictionologist, and comprehensive rehabilitation services in several convenient locations. You live at home, go to work and spend time with those who love and support you.