ASCEND Customer Survey

We truly care about making ASCEND the best it can be, but we need your honest input to keep us informed. Please take a moment to complete this brief survey, and if you'd like to be considered to win a $20 ASCEND Gift Card via our monthly survey drawing, please leave your email at the end. This will not add you to our mailing list or be used for anything else.


Customer Survey

Which facility is this regarding?

On a scale of 1-10, please rate your overall experience at ASCEND. (10 is the best! 1 is the worst.)

On a scale of 1-10, please rate your experience in the following areas:

On a scale of 1-10, please rate the importance to you of the following items:

If you’re up for it, we’d appreciate knowing why you feel the way you do, so that we are better equipped to make positive change.

Optional field. Email is only necessary to be considered for the monthly drawing for one $20 ASCEND Gift Card. If you wish to remain anonymous, you may leave this field blank. Email is used for drawing entry ONLY. You will not be subscribed to ANY newsletters.