Client Feedback Survey
RequiredRequired Question(s)
Thank you for taking the time to complete this brief survey. It is important to Nicasa Behavioral Health Services to continually build on what is working, adjust what isn't, and reach out to those who may be in need. Please answer the following questions:
 
Required 1.

Which service(s) did you utilize at Nicasa? 

Substance Abuse
Mental Health
Gambling
Family Services
DUI
Other  
Required 2.

Are you currently experiencing problems in any of the following areas: use of alcohol, drugs, gambling, mental health concerns or family relationships?

Yes
No
  • Comment:

  • 500 characters left.
Required 3.

Are you currently experiencing problems related to other important life areas (ex. employment, legal, etc.)?

Yes
No
  • Comment:

  • 500 characters left.

If you would like to speak to Nicasa Behavioral Health Services about any of the above, or about the services you received with this agency please call (847)546-6450 or email info@nicasa.org.

 

If you feel you are in a crisis or need immediate attention, please call 911.

 

Thank you for your feedback.