Dr. Don G. Brock
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1. Client Satisfaction Survey

 
This survey provides vital feedback to Dr. Brock and the Relationship Clinic. This information will be used to improve counseling services. Please respond concerning your last counseling session, or the last few.

1. I felt accepted by my therapist:

2. I believe my therapist liked me:

3. I felt like my therapist understood my feelings:

4. My therapist was honest and sincere:

5. My goals were important to my therapist:

6. The sessions go smoothly and are comfortable for me:

7. My sessions go deep rather than talking on the surface:

8. My sessions are helpful to my life:

9. My sessions give me hope for my future:

10. If you have any comments or suggestions, feel free to add them in the box below:

   
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