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Manna Treatment Center General Feedback
1.
At Manna, I participated in (select all categories that apply):
PHP Program
IOP Program
Outpatient Client
Parent or Family of client
Alumni
Referral Source
Donor
Other (please specify)
2.
My Gender:
Male
Female
Transgender
Decline to say
Other (please specify)
3.
My Race
Caucasian
Black
Hispanic/Latino
Asian
Decline to say
Other (please specify)
4.
I am/was treated with dignity and respect at Manna
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5.
I am/was satisfied with the physical facilities at Manna
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unknown
6.
I am/was satisfied with any fees associated with receiving treatment at Manna
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unknown
7.
I am/was satisfied with the ease of access to services at Manna (i.e., time spent on the waitlist, assessment process, etc.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unknown
8.
I am/was satisfied with the results I/the client achieved at Manna
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unknown
9.
I/my loved one got better as a result of being treated at Manna (i.e., my behavior changed for the better, my acting out behaviors (eating, self-harm, drinking, etc.) improved
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unknown
10.
I/my loved one have/has been given hope through Manna
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Unknown
11.
Is there anything that needs to change for you to consider the treatment programs at Manna more effective?
12.
What could improve access to services at Manna? (Please check all that apply)
Decrease time on the waiting list
Improve response to phone calls
More office locations available in the Atlanta area
Improved communication on billing
Other (please specify)
13.
What changes or improvements would you want to see implemented at Manna? (examples: social media presence, office hours, contact methods, program or group content, etc.)
14.
What other feedback do you have regarding your experience at Manna?
15.
What 3 words would you use to describe Manna?