The “Residential Alcohol and Drug Treatment Program Client Survey” is designed to gather valuable feedback from clients who have completed our 30-day residential program. This survey covers key aspects of the program, including the environment, staff support, counseling, educational programs, and overall satisfaction. Your insights help us continually improve our services, ensuring we provide the best possible support for those on their recovery journey. Please take a few moments to share your experience, as your feedback is essential in helping us enhance our program and better meet the needs of future clients.

Written by clinical psychologist Dr. Hal Baumchen, PsyD, LP, LADC, this printable PDF worksheet gives clinicians a practical, session-ready tool. The conversational, encouraging tone makes clinical concepts accessible to clients at any stage of therapy, while structured prompts keep the work focused and productive.

How clinicians use it: as an in-session exercise to open and structure discussion, as between-session homework to reinforce skills, as a progress tool to track growth over time, and as part of a treatment unit paired with the companion lesson and PowerPoint on this topic. Formatted for easy printing and immediate use in individual or group settings.

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