Evaluatie behandeling

01 General information

Name:

Start and end dates:

Duration of treatment (number of weeks):

02 Your testimonial

Your experience can inspire others who are reluctant to seek help. Would you like to share your story?No, I'm not interestedYes, I want to write an anonymous testimonialYes, I want to write a testimonial with my nameI would like to participate in a video testimonial

If yes, write your message below:

(What did the program mean to you? What would you say to someone who is struggling?)

Name (optional):

03 My trip — Personal reflection

What were my expectations at the start of my treatment?

(What was I hoping for? What were my fears or doubts? Have these been fulfilled?)

What do I have afterreached weeks?

(Growth, insights, behavioral changes, improved coping skills, new perspectives...)

What am I most proud of on this trip?

04 Feedback on group and therapeutic activities

Give each activity a score of 0 to 10 and a brief explanation (helpful, engaging, challenging, unclear, etc.).

Advice/Feedback Session:/10:

Body Map:/10:

Art Sandplay:/10:

Art Therapy (Drawing, Painting):/10:

Trauma Lecture (Monday):/10:

Weekly theme lecture (Tuesday):/10:

Weekly process group (Tuesday):/10:

Theme discussion group (Wednesday):/10:

Sacred Circle (Thursday):/10:

Addiction Education (Thursday):/10:

Mindful Walk:/10:

Weekend forecast:/10:

Weekend debrief:/10:

Sport/Activity Session:/10:

Yoga (Wednesday):/10:

Closing Rituals (Friday):/10:

05 Organizational feedback

Give a score and describe your experience.

Score: 0 Unsatisfied | 1 Not So Happy | 2 Satisfied | 3 Very Satisfied

Infrastructure:

Cooking and eating:

Others:

06 Staff Feedback

Give a score and describe your experience.

Score: 0 Unsatisfied | 1 Not So Happy | 2 Satisfied | 3 Very Satisfied

Recovery Assistants (RAs) support:

Support from Counseling Team Staff:

Support from the Administration:

07 Outlook and aftercare

Do you feel well prepared to continue your recovery after Affect2u?Yespartlyno

What else could you support in the future?

08 Additional Feedback

Do you have any other suggestions, compliments or ideas for improvement?

Thank you for taking the time to complete this survey.

Your feedback helps us improve our program and can inspire others to seek help. Everything you share remains confidential.

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Treatment evaluation:
The Journey Inwards

01 General information

02 Your testimonial

03 My trip — Personal reflection

04 Feedback on group and therapeutic activities

05 Organizational feedback

06 Staff Feedback

07 Outlook and aftercare

08 Additional Feedback

Addictions

Trauma

Treatments

I'm looking for help

Treatment evaluation:The Journey Inwards

01 General information

02 Your testimonial

03 My trip — Personal reflection

04 Feedback on group and therapeutic activities

05 Organizational feedback

06 Staff Feedback

07 Outlook and aftercare

08 Additional Feedback

Addictions

Trauma

Treatments

I'm looking for help

Treatment evaluation:
The Journey Inwards