Customer Satisfaction Survey Form

Community Feedback

WEreckognize is working with BSM to provide clients with additional services. We'd like to hear about your experience with BSM. Please take a moment to fill out this survey because in this community, your voice matters!

Overall Satisfaction

When did you stay with us (use the year you LEFT the program)?
What services did you use? Please select all that apply.

HousingNon-Housing Support / AssitanceCPRS ServicesTransportation / Help Finding TransportationFood Support / Help Finding Food SupportReferral to Other ServicesManagement SupportEstablishing RecoveryFinding MeetingsGetting Social Security CardGetting Driver License / ReinstatementFinding a JobFinding a Sober / Supportive Recovery CommunityEstablishing Healthy Relationships with Family / FriendsOther
What kind of other support did you receive while at BSM/WEreckognize?
Describe your best experience with us.
Were we able to help you find other services you used (see above list)?
Are there other things we could have helped with?
If you feel comfortable, please share your story!
OPTIONAL: If you feel comfortable, let us know who you are:

First NameLast Name
Should be Empty:

Community Feedback