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Surveys
2015
October
Q
QuestionPro : Services Provided to Consumers
QuestionPro : Services Provided to Consumers
Tillary Survey
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How long have you been receiving our services?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
Do you have contact with family members?
Yes
No
Sometime
Never
What age are you?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
What best describes your employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed, looking for work
Unemployed, not looking for work
Student
Retired
Prefer not to answer
Do you have Children?
1
2
3 or more
None
Prefer not to answer
Do you have a substance problem?
Don't know
Yes
No
If You have a substance abuse problem, how likely are you to continue using?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
What is the highest level of education attained?
High School
Some College
Trade/Vocational/Technical
Associates
Bachelors
Masters
Professional
Doctorate
Do you have any suggestions for improvement?
If group workshops were offered, would you participate?
Yes
No
Sometime
Maybe
Depends
Would you like to participate in other activities offered?
Yes
No
Depends
What type of activities would you like to participate in?
Job Search
Resume Writing
Exercise Class
Journal Writing
Library on Premises
Other
Has this survey been useful for you?
Yes
No
Somewhat
Not at all
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