Performance Feedback Survey
Alcohol and Drug Abuse Treatment Centers, Inc. appreciates your participation in our Perfomance Feedback Survey. Please fill out the following questions to help us better serve your community with bringing awareness to the dangers of underage drinking.
Please check one response that best fits your description. AGE:
Please Select
10-18
19-25
26-35
36-55
56-65
66+
Please check one response that best fits your description. RACE
Please Select
White
Black
Hispanic/Latino
American Indian/Alaska Native
Asian
Haw/Pacific Islander
Other
Please check one response that best fits your description. SEX
Please Select
Female
Male
Please check one response that best fits your description. Affiliation with organization
Please Select
Participant
Student
Volunteer
Parent
Community Partner
Health Care
Social Services
Law Enforcement
School System
City/County Government
Other
Please check the response that best reflects your opinion:
1. How effective do you believe the current substance abuse prevention programs are in your community?
Very Effective
Somewhat Effective
Neutral
Somewhat Effective
Very Ineffective
2. In your opinion, how accessible are resources for substance abuse prevention and treatment in your community?
Very Accessible
Somewhat Accessible
Neutral
Somewhat Inaccessible
Very Inaccessible
3. Which groups in the community do you think would benefit most from substance abuse prevention education?
Children and Adolescents
Parents and Guardians
Teachers and Educators
Young Adults
Community Leaders/Organizations
4. Do you believe there are enough resources and support systems available for individuals struggling with alcohol or drug abuse in your community?
Yes
No
Not Sure
5. How likely are you to recommend our programs or services to others in need of support for alcohol or drug abuse treatment?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
6. Information about substance prevention is clearly communicated to the community.
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
7. This agency clearly communicates information about substance prevention in the community.
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
8. All of the community is welcome to participate in ADATC's activities to promote diversity.
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
9. The ADATC staff is professional and treated me with respect.
Strongly Agree
Agree
Not Sure
Disagree
Strongly Disagree
10. What additional steps can Alcohol and Drug Abuse Treatment Centers, Inc. take to improve community engagement and raise awareness about the dangers of drug and alcohol?
Submit
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