Date
County you live in
It is important to identify the program your family is receiving services from. If you are not sure about the correct name of the program, please check with program staff or refer to your family handbook, before continuing with this survey.
Please select the correct program.
Adoption Services
Child and Family Treatment and Support Services - Central Region
Child and Family Treatment and Support Services - Monroe Region
Child and Family Treatment and Support Services - Southern Tier Region
Child and Family Treatment and Support Services - Western Region
Customized Services - Central Region
Customized Services - Monroe Region
Customized Services - Southern Tier
Customized Services - Western Region
Day Treatment - Creekside
Day Treatment - Crestwood
Day Treatment - Halpern
Day Treatment - RCSD
Day Treatment - Stepping Stones (Oswego)
Emergency Respite Beds (ERB)
Family Crisis Support Services (FCSS)
Family Finding
Family Resiliency
Foster Care, Regular
Foster Care, Therapeutic (TFC) - Central Region
Foster Care, Therapeutic (TFC) - Southern Tier Region
Foster Care, Therapeutic (TFC) - Western Region
FRC, Parent Education, Fathers Group
FRC, Parents as Advocates (PAA)
FRC, PAT (Parents)
FRC, PAT (Providers)
GLOW Family Support
HCBS Waiver - Central Region
HCBS Waiver - Monroe Region
HCBS Waiver - NiGLOW
Individualized Residential Alternatives (IRA)
In-Home Parenting
One Family
Outpatient Clinic
Preventive, Family Preservation
Preventive, General - Erie County
Preventive, General - Monroe County
Preventive, Intensive Family Support
Reinvesting in Youth (RIY)
Residential - Critical Care - Crestwood Campus
Residential - Critical Care - Monroe Campus
Residential - Critical Care - Varick Campus
Residential - DAS - Monroe Campus
Residential - DAS - Varick Campus
Residential - DAS Transitional - Varick Campus
Residential - Enhanced - Monroe Campus
Residential - Enhanced - Varick Campus
Residential - GROW - Fingerlakes Campus
Residential - Raise the Age, DAS - Snell Farm Campus
Residential - Raise the Age, Specialized - Snell Farm Campus
Residential - RTF - Crestwood Campus
Residential - RTF - Fingerlakes Campus
Residential - RTF - Monroe Campus
Residential - RTF - Stillwater Campus
Residential - Specialized - Snell Farm Campus
Residential - Specialized - Varick Campus
Substance Abuse Clinic (OASAS)
Youth Court, Community Service
Your name (optional)
When you have completed your survey, please make sure you hit "Submit" to send it to Hillside
If you are human, leave this field blank.