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This monthly check-in helps us serve you better and show our work to the Florida Department of Children & Families (DCF).
📋 About This Survey
There are no right or wrong answers. Just be honest — your feedback makes Hope House stronger for you and every man who comes after you.
We report numbers and totals only — never your name. This is private and confidential.
We report numbers and totals only — never your name. This is private and confidential.
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Your answers are safe and private. You can skip any question. If you need help reading, ask a staff member — they are happy to help.
Section 1 of 8
Staying Safe & Sober
These questions track how your recovery is going. Your honest answers help us get you the right support.
1This month, did you use any alcohol or drugs?
Being honest helps us give you the right support. You will not be punished for answering honestly here.
2How strong were your cravings (urges to use) this month?
1 = No cravings5 = Very strong
3Did you go to AA, NA, or any recovery meetings this month?
4Do you feel safe at Hope House?
1 = Not safe at all5 = Completely safe
5Did you follow the house rules this month?
Section 2 of 8
Your Mental Health
How you feel inside matters just as much as staying sober. Help is here if you need it — be as honest as you can.
6How often did you feel sad, empty, or hopeless this month?
7How often did you feel worried, anxious, or nervous?
8How would you rate your overall mood this month?
1 = Very bad5 = Great
9Did you see a counselor or mental health provider this month?
10Are you taking any medicine for your mental health?
11This month, did you have any thoughts of hurting yourself?
Section 3 of 8
Goals & Life Skills
Recovery is about building a whole new life. Tell us what steps you are taking this month.
12Do you have a job or are you working toward getting one?
13Are you working on education or job training (GED, classes, trade training)?
14Check everything you worked on this month: (check all that apply)
15Do you have a personal recovery plan or goals you are working toward?
Section 4 of 8
Staff & Support Team
Rate how well our team is helping you. Your feedback is used to train and improve every member of our staff.
👤 Your Care Coordinator
Helps you reach your goals and connects you to the services you need.
1 = Strongly Disagree · 5 = Strongly Agree
🧑⚕️ Your Counselor
Helps you work through your recovery journey and emotional health.
1 = Not helpful · 5 = Very helpful
🏠 House Manager & Program Leadership
The people who run the day-to-day life at Hope House.
1 = Never · 5 = Always
Section 5 of 8
Program & Services
Tell us what services you used this month and how helpful the program has been.
22Overall, how would you rate the Hope House program this month?
1 = Poor5 = Excellent
23Which services did you use this month? (check all that apply)
24Is there a service or kind of help you need but are NOT getting?
25Do you feel the program helps you prepare for life after Hope House?
1 = Not at all5 = Very much
Section 6 of 8
Community & Connections
Strong connections are a big part of lasting recovery. Tell us how connected you feel.
26Do you have a sponsor or recovery mentor?
27How well do you get along with the other men at Hope House?
1 = Not well5 = Very well
28How connected do you feel to positive people outside Hope House?
1 = Very isolated5 = Very connected
29Did you do any community service or volunteer work this month?
30Do you feel hopeful about your future?
1 = Not hopeful5 = Very hopeful
Section 7 of 8 — Your Ideas Matter
Help Us Get Better
This is your space to give us real, honest feedback and tell us what you want more of. We read every single response.
31Would you recommend Hope House to another man who needs help?
1 = No way5 = Absolutely yes
📝 Constructive Feedback
✅ What is the BEST THING about Hope House right now?
⚠️ What is the BIGGEST PROBLEM that needs to be fixed?
🗣️ Feedback on STAFF & LEADERSHIP — what could they do differently?
📋 Feedback on RULES & STRUCTURE — what seems unfair or unclear?
🌟 What is ONE CHANGE that would make the biggest difference for you?
🗓️ What Would You Like to Do Next Month?
Pick the activities and services you want us to add or do more of. Choose as many as you like!
37Is there something you want that is NOT on the list?
Section 8 of 8 — Last Step!
Final Check-In
Just a couple more questions. You're almost done — thank you for sticking with it.
38How are you feeling about your recovery right now, today?
39Is there anything else you want to share with the staff or leadership?
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Thank You for Completing This Survey
Your voice makes this program stronger — for you and every man who walks through these doors.
ACE Foundation of Florida · Hope House for Men · In Partnership with
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Survey Submitted!
Thank you for filling this out. Your answers have been saved to the Hope House dashboard. Keep going — you've got this! 💙🧡
📊 Your Submission Summary
Hope House for Men · In Partnership with