Appendix A

2003 N-SSATS Questionnaire

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This Appendix contains a complete copy of the 2003 N-SSATS questionnaire that was sent by mail to all facilities. As detailed in Chapter 1, 49 percent of the responding eligible treatment facilities completed the questionnaire via mail [Table 1.1].

Facilities also had the opportunity to respond to the questionnaire via the Internet, and Internet responses accounted for 28 percent of responses from eligible facilities in 2003. A printed version of the Internet interview is not included here because it contains embedded instructions and skip patterns that make it difficult to read.

The questionnaire was administered by telephone to those facilities that, after follow-up efforts detailed in Chapter 1, had not completed the survey. The telephone interview was administered using computer-assisted telephone interviewing (CATI). Telephone responses accounted for 23 percent of responses from eligible facilities in 2003. A printed version of the CATI interview is not included here because it contains embedded instructions and skip patterns that make it difficult to read.

Sample Questionnaire