The following survey is for former North Cottage Program clients. 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.

E-mail address optional:


What is your current substance abuse status:

Are you alcohol free?

Date of last use:

Are you drug free?

Date of last use:


What is your housing status?


What is your employment status?


What has been your aftercare treatment?


What was your overall impression of the treatment experience at North Cottage?


Do you have any additional comments?