Survey for Former Narconon Attendees

How did you find out about Narconon as a treatment center? (Some examples might be: newspaper, friend, internet referral site, Narconon website, court referral.) If you found it through a referral site, please include the link if you recall which one it was. If it was a court referral, please state which court by location.

Please give the names and phone numbers of any people you spoke to about Narconon when you were making your decision.

What were your reasons for choosing Narconon as a treatment center?

What role, if any, did Narconon's success rate play in your decision to attend Narconon?

Were you aware that the Narconon program is Scientology before you went? Y/N? Yes No
If so, how did it affect your decision?

Which Narconon center did you attend, and when (during what year)?

How much were you charged by Narconon for the program?
What method did you use to pay? Payment method? Credit card Cash Check Funds transfer Payment plan Other (If you select "other" please explain below.)
Were you charged any additional fees, or charged for services that you were not made aware of before you made your choice? Y/N? Yes No
If so, how much were the additional fees?
What were the additional fees for?

Were you informed about the refund policy before the program was paid for? Y/N? Yes No
If so, what were you told?

When discussing the purchase of the program with Narconon, were you told that your insurance or health plan would pay or reimburse you for the program? Y/N? Yes No
What were you told about insurance or health plan coverage?

Did a doctor examine you before you entered the withdrawal unit? Y/N? Yes No
Was there medical oversight during your stay at Narconon? Y/N? Yes No
Was medical personnel available at all times? Y/N? Yes No
Please describe any medical services you received during your stay at Narconon.

Did you determine that Narconon is Scientology while in the program? Y/N? Yes No
If so, how?

Was the Narconon program you entered classified as a residential program? Y/N? Yes No
If so, what were the circumstances of your housing?

How many students were in attendance while you were at Narconon?
How many staff members were there?
Do you feel this was adequate? Y/N? Yes No
If not, what were the effects or results of this?

Did any of your experiences at Narconon bother you while you were in the program? Y/N? Yes, during Yes, after Yes, during and after No
Please elaborate.

How long were you at Narconon?
Did you complete the Narconon program? Y/N? Yes No
If you did not complete the program, did you leave of your own choice? Y/N? Yes No
Did anyone attempt to get you to stay at Narconon? Y/N? Yes No
Were you at any time held against your will? Y/N? Yes No
If you left early, why? What were the circumstances of your leaving?

Were you ever asked to become staff at Narconon, either during or after completing the program? Y/N? Yes No
If so, did you accept? Y/N? Yes No
What were the specifics of your pay and work hours?

Did Narconon deliver the service and results that were promised when you entered the program? Y/N? Yes No
How did the service and/or results differ from what you were promised?

If you were making the choice today, knowing what you know now, would you choose Narconon? Y/N? Yes No
Why, or why not?

Did your insurance or health plan pay for your treatment at Narconon? Y/N? Yes No
If you were dissatisfied with your treatment at Narconon, did you submit a complaint to your insurance or health plan? Y/N? Yes No
How did they respond?

Did you ever use drugs within the first two years after leaving Narconon? Y/N? Yes No
Are you using now? Y/N? Yes No
If you have remained drug free, was Narconon the key factor? Y/N? Yes No
Please explain what in particular has helped you remain drug free.

Did Narconon provide an adequate and consistent after-care program that helped you? Y/N? Yes No
Please explain Narconon's after-care program as you understand it.

In hindsight, do any of your experiences at Narconon bother you now? Y/N? Yes No
If so, please elaborate.

Are you aware that the 70-76% success rate claimed by Narconon is false? Y/N? Yes No
How did you become aware of this?

Have you or the person who paid for Narconon filed any complaints to any organizations responsible for oversight of drug treatment or any other regulatory agencies? Y/N? Yes No
If so, which agencies or organizations?

If you have not filed any complaints, would you like to file a complaint for any harms done to you? Y/N? Yes No
Do you want or need help in filing a complaint? Y/N? Yes No
Please explain the help you need in filing a complaint.

Would you consider joining a class action law suit to seek compensation for damages? Y/N? Yes No
Is there anything we can do to help you cope with any harmful effects from Narconon? Y/N? Yes No
Please describe or list any details about your damages.

Would you like to discuss your experiences with other Narconon attendees and other people knowledgeable about Narconon? Y/N? Yes No
Do you know of any other Narconon attendees that want or need help? Y/N? Yes No
If so, please give some contact information for those people.

Do you have any additional comments, or anything you would like to say?

If all identifying information were removed, would you mind having some of your responses made public? Your responses will be kept private unless you select "Public". Private Public