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Exit Survey
 
 
Have you relapsed since being in the program?
 
yes
 
no

 
 
 
How many times in the last 6 months have you been to the hospital for mental health issues?
 
1-2
 
2-6
 
6-8
 
8-10
 
10+

 
 
 
How many times in the last 6 months have you been arrested?
 
1-2
 
2-4
 
4-6
 
6-10
 
10+

 
 
 
Were the arrests drug related?
 
yes
 
no

 
 
 
Are you currently housed?
 
yes
 
no

 
 
 
Do you have a primary care doctor and or a psychiatrist?
 
Yes
 
No
 
Both

 
 
 
Are you recieving SNAP benefits?
 
Yes
 
No

 
 
 
Are you receiving SSI/SSDI, GA, TANF, or child support?
 
Yes
 
No

 
 
 
Are you currently employed?
 
Yes
 
No

 
 
 
With the help of your case worker, how have you been able to manage your mental health diagnosis?
 
Able to manage
 
Unable to manage
 
Somewhat able to manage
 
Not sure