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Menu
Home
About
Our Story
The Benefits
Addiction
Our Prices
FAQ
Services
Sober Living Programs
Classic
Signature
Trademark
Outpatient
Mental Health
Substance Abuse
For Residents
Payment Center
Client Handbook
Weekly Accountability
Scholarship Weekly Form
Maintenance Requests
Overnights
Suggestions
Locations
NE Dallas (Mens)
Richardson (Mens)
Plano (Mens)
West Plano (Mens)
Preston Hollow (Mens)
Dallas Trademark (Mens)
Central Dallas E1 (Womens)
Central Dallas E2 (Womens)
Dallas Trademark* (Womens)
Addictions
Uppers
Meth
Cocaine
Adderall
Downers
Heroin
Lean
Kratom
Ambien
Robaxin
Nicotine
Alcohol
Porn
Apply
Outpatient Questionnaire
This form is completely confidential. No information will be sold to third parties.
Please enable JavaScript in your browser to complete this form.
Name
*
What Is The Single Most Important Aspect of Outpatient Therapy?
*
How Was The Group Schedule?
*
Convenient
Inconvenient
Time Made No Difference To Me
Which Group Times Seem Best? (Monday, Tuesday, Thursday)
*
9:00 A.M.-12:00 A.M.
10:00 A.M- 1:00 A.M
6:00 P.M.- 9:00 P.M
What Was The Worst Part of Outpatient?
*
What Was The Name of The IOP You Attended?
*
How Did You Hear About the IOP You Attended?
*
If You Had A Chance to Open an IOP, What Would You Implement?
*
Was Transportation to IOP An Issue?
*
Yes
No
Would Having a Safe Ride to And From IOP Make it Better?
Yes
No
Doesn't Matter, I Can Fly
Did You Feel Safe to Share Your Honest Opinions?
*
Hell Yes
Hell No
If You Answered No, What Would've Made You Feel More Comfortable?
*
Did You Have Any Fear Of Others Judging You?
*
Did You Like The Lead Therapist?
*
Yes
No
Eh, No Opinion
Did You Feel like IOP Was a Waste of Time?
*
Which is The Most Important In Outpatient Therapy?
*
Being Able to Be Honest With Others
Having a Therapist to Talk To
Nothing. It Is Waste Of My Precious Time
Rating
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Rate Your Overall Experience with IOP.
Submit