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2023 Counseling Survey
Client Satisfaction Survey
Thank you for your participation in this survey! We appreciate your help in our efforts to improve our services.
OK
1.
My child and I feel physically safe when we are at Children’s Advantage.
Agree
Disagree
No Opinion
Comments
2.
My child and I feel emotionally safe when we are at Children’s Advantage.
Agree
Disagree
No Opinion
Comments
3.
The Intake Specialist whom I first spoke with listened to my needs and offered me choices about the services that I receive.
Agree
Disagree
No Opinion
Comments
4.
The facility is comfortable and attractive.
Agree
Disagree
No Opinion
Comments
5.
The receptionists, office staff, and financial staff seemed professional, friendly, knowledgeable, and helpful.
Agree
Disagree
No opinion
Comments
6.
The explanation of the cost of services was clear.
Agree
Disagree
No Opinion
Comments
7.
I am given the opportunity to adjust my client fee, if possible.
Agree
Disagree
No Opinion
Comments
8.
My initial phone call with the intake specialist, to schedule my child’s first appointment, was handled in a way that met my needs.
Agree
Disagree
No Opinion
Comments
9.
I feel comfortable talking with my therapist.
Agree
Disagree
No Opinion
Comments
10.
Please choose your provider from the list below.
Madison Glavic
Ryan Ferguson
Alexandra Garik
Celisa Hardesty
Karli Lash
Shannon McCreary
Jill Morrison
Monica Ochoa
Lisa Pyles
Devin Tickle
Taylor Wiegand
Katherine Zuhl
Raya Tucker
Georgia Owens
Other (please specify)
11.
My therapist listens to my needs.
Agree
Disagree
No Opinion
Comments
12.
My Intake Therapist explained to me why they asked me to complete a survey regarding difficult experiences in my life.
Agree
Disagree
No Opinion
Comments
13.
I am satisfied with the counseling services my child is receiving at Children's Advantage
Agree
Disagree
No Opinion
Comments
14.
I know whom to call if my child is having a crisis.
Agree
Disagree
No Opinion
Does Not Apply
Other (Comment Below)
Comments
15.
If a friend were in need of similar help, I would recommend Children's Advantage.
Agree
Disagree
No Opinion
Comments
16.
How likely are you to continue utilizing services at Children’s Advantage?
Very Likely
Likely
Unlikely
Very Unlikely
Comments
17.
Have you visited our website?
Yes
No
Comments
18.
If you have visited our website, overall how satisfied or dissatisfied are you with the content?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisf
Comments
19.
What is most important in your decision to continue with treatment at Children’s Advantage?
Location/Convenience
Cost
Parking
Availability of Appointments
My Relationship with my Provider
Other (Comment Below)
Comments
20.
My child and I discuss progress with our counselor.
Agree
Disagree
No Opinion
Comments
21.
My child has made progress with counseling services.
Agree
Disagree
No Opinion
Comments
Comments
22.
Please tell us a little about your child.
Sex
Race
Age
Demographics
-- Select an option --
Female
Male
-- Select an option --
African American
Hispanic
White
Other (Comment Below)
-- Select an option --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Comments
23.
Number of Counseling Sessions Completed
1-3 Sessions
4-8 Sessions
9 or More Sessions
24.
Name (Optional)
25.
Please give us your thoughts on the reminder text system: