This form is regarding individuals that have already been admitted to treatment. If your family member has not been admitted to treatment, please do not fill out this form at this time. Your input is very important to us. Please be as specific and thorough as possible. Thank you for your participation.

Meaningful Person Questionnaire

  • Please note, if you expect this form to take a lot of time or you plan to not complete it all at once, Please click the link below to download a form that you can fill out on your own. Then use the upload button below to upload the form. Once you have done this, You must scroll to the bottom of this page and click submit. Thanks for your patience

    Click here for Meaningful Questionaire Download

  • Accepted file types: docx, Max. file size: 2 MB.

  • Online Meaningful Person Questionnaire

  • Below are some questions about your feelings and opinions related to your loved one's drinking or drug use.