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Resident Exit Interview
First and Last Name
(Required)
Move In Date
(Required)
Leave Date
(Required)
House
(Required)
Program Manager(s)
(Required)
Sobriety Date
(Required)
Phase
(Required)
What was your reasoning for wanting to leave Hope Is Alive (i.e., relapse, relationship, family, didn’t like our program, ect.)?
(Required)
Did you talk through your decision to leave with your Program Manager? If so, how did that conversation go?
(Required)
Do you feel that your Program Manager gave you helpful advice and guidance while you were in the program? When you decided to leave?
(Required)
What were some things you really enjoyed about your time at Hope Is Alive?
(Required)
What were some things that you did not like about Hope Is Alive?
(Required)
What suggestions do you have for Hope is Alive?
(Required)
Would you recommend HIA to a friend?
(Required)
Do you have any other comments or issues you'd like to address?
(Required)
Would you consider coming back into Hope Is Alive?
(Required)
Were you provided help with finding treatment or other resources?
(Required)
