Adis-Link Client Feedback Survey - Metro North

Adis 24/7 Alcohol and Drug Support

1. How do you rate Adis on the following attributes:

	Poor	Fair	Average	Good	Excellent
Knowledge of alcohol and other drugs
Knowledge of treatment or support services
Overall service

Other comments:

2. Did you feel heard and supported during your call with Adis?

Yes, I felt heard and supported No, I did not feel heard and supported

Other comments:

3. How difficult was the referral process?

	Very Easy	Easy	Not Easy or Difficult	Difficult	Very Difficult
The referral process was

Other comments:

4. How likely are you to continue to engage with alcohol and other drug support services after this referral?

	Very unlikely	Unlikely	Neither likely nor unlikely	Likely	Very likely
Likelihood of continued engagement

Other comments:

5. Please let us know in the box below if you have any other feedback about Adis and/or the direct referral you received from Adis:

6. At Adis we really value your feedback and would appreciate the opportunity to hear more about your experience with our service. Please indicate below if you consent to further contact from Adis regarding this survey. (If you consent you will be asked to provide your name and contact details)

(Required) Yes, I consent to further contact from Adis No, I do not consent to further contact from Adis