The following survey is for former North Cottage Program Residents. We are interested in your overall impressions of the experience at NCP as well as learning about your life since leaving the program. This is an anonymous survey although you are welcome to leave your first name with last initial only. Feedback is an important tool and helps us to know what we're doing right and where we can improve. We invite you to be a part of that process.

Email address optional:
Your name with last initial only
Today's date is:
The date you left North Cottage:
What is your current sobriety status?
Date of last use?
If you still require referrals please describe what type:
What was your overall impression of the treatment experience at North Cottage?
Do you have any additional comments?