Please provide the name of your counselor *
My counselor seeks resources and opportunities that assist in my recovery. *Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
My counselor is attentive and responds to my needs and requests.* Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
I can rely on my counselor to follow through on items or tasks that we have discussed. Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
Please share any comments or feedback about your counselor.
I feel the classes benefit my mental health. Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
I feel the offsite trips are helpful in meeting my needs. Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
The goals on my Individualized Rehab Plan are important to me. Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
The program has helped me stay out of the hospital. Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
I would recommend the APS Program to a friend. Select one... Strongly Agree Agree Neutral Disagree Strongly Disagree
Do you have suggestions for future class topics or improvements with the classroom experience?
On a scale of 1 (worst) to 10 (best), what would you rate the program?
Would you like to receive visits in the home from your counselor? If yes, what would you like to address during those visits?
Do you have suggestions for the offsite trips or things we could improve about the trips?
Is there anything you would like to work towards that is not currently being addressed?