If you are an opiate addict what forms of treatment have you tried? Please choose all that apply!

• Support groups only

• outpatient counseling

• intensive outpatient program (IOP)

• detox (non-medicated) 1-7 days

• detox (medicated) 1-7days

• inpatient

• 28day rehab

• residential

• halfway house

• sober living house

• jail or prison treatment (any form)

• Suboxone/Subutex/buprenorphine detox

• methadone detox

• Suboxone/Subutex/buprenorphine maintenance

• methadone maintenance

• Other: