A question with radio buttons and a textbox.

Do you wish to share something?

Please select one option.

   
   
   
   

A question with radio buttons and two textboxes.

Do you wish to share your thoughts?

Please select one option.

   
   
   
   

A question with checkboxes and a textbox.

Are multi-response questions with a text box essential?

Please select all that apply.

   
   
   
   
   
   
   


A question with checkboxes and textboxes.

What types of substance use disorder or addictions treatment services does your program offer?

Please select all that apply.

   
   
   
   
   
   
   
   
   
   
   
   
   


A highly customized hybrid single response question with a multiple response subcategory

Please indicate how much time elapsed between your first and second trip. If the amount of time is unknown, please provide as close of an estimate as possible or select "I don't know".

Hours Minutes Seconds

   
   


A question with an enforced character limit in the textbox

How were you made aware of this survey?

   
   
   
   
   
   


Another question with an enforced character limit in the textbox

How does the length of recovery documents impact your ability to effectively use them? (select one)

   
   
   
   
   

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