Appendix A

2004 N-SSATS Questionnaire

This Appendix contains a complete copy of the 2004 N-SSATS questionnaire that was sent by mail to all facilities. As detailed in Chapter 1. 48 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 30 percent of responses from eligible facilities in 2004. 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 22 percent of responses from eligible facilities in 2004. 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.

[To Questionnaire]