We would like to get feedback on your experience of receiving services at our shared offices.  Though each of the professionals working at Beverly Therapists has their own private practice and business, we share office space and professional goals of providing quality services to our clients.

Our purpose is: to hear feedback about what is working well and what needs improvement. Confidentially is a top priority and, therefore, it is your choice if you choose to share your name.

Thank you in advance for your feedback!

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* 1. Physical space - How do you experience the offices, waiting rooms and facilities?

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* 2. Extras - How do you rate our efforts to make you comfortable, such as our tea service, waiting room reading materials, waiting room music, etc.…?

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* 3. How did you find your therapist?

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* 4. What attributes/qualities initially drew you to your therapist (Check any that apply):

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* 5. In the following sections, we are asking for specific feedback for your therapist:

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* 6. Please share:

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* 7. How would you rate the helpfulness of your therapy sessions?

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* 8. This feedback will be shared with your therapist. If you’d like, you may remain anonymous. Or, you may give your name so that your therapist, or one of the founders, can follow up with you in terms of your feedback.
Would you like a follow up?

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* 9. If yes, please indicate:

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