Aboriginal Outreach Program KPI
Client's First Name:
Client's Last Name:
1. Since engaging in treatment, my substance use has reduced
--None--
Not at all
A little
Somewhat
Mostly
Very much
2. Since engaging in treatment, I've noticed some improvements in my physical health
--None--
Not at all
A little
Somewhat
Mostly
Very much
3. Since engaging in treatment, I've noticed some improvements in my mental health
--None--
Not at all
A little
Somewhat
Mostly
Very much
4. Since engaging in treatment, I've noticed some improvements in my relationships with others
--None--
Not at all
A little
Somewhat
Mostly
Very much
5. Since engaging in treatment, I feel confident to make changes to my substance use
--None--
Not at all
A little
Somewhat
Mostly
Very much
6. Since engaging in treatment, I have reduced my engagement in risky or unsafe behaviours
--None--
Not at all
A little
Somewhat
Mostly
Very much
7. Since engaging in treatment my ability to manage money has improved
--None--
Not at all
A little
Somewhat
Mostly
Very much
8. Since engaging in treatment I feel in control of my own health and wellbeing
--None--
Not at all
A little
Somewhat
Mostly
Very much
9. Since engaging in treatment my connection to culture has improved
--None--
Not at all
A little
Somewhat
Mostly
Very much
10. Since engaging in treatment I have improved access to culturally secure and responsive support
--None--
Not at all
A little
Somewhat
Mostly
Very much
Submit