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* 1. What is the name of your therapist at the Olson MFT Clinic?

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* 2. What is your identified gender:

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* 3. Which type(s) of sessions(s) did/do you attend?

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* 4. How did you first make contact with the Olson Marriage and Family Therapy Clinic?

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* 5. Initial contact with the Olson Marriage and Family Therapy Clinic was easy.

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* 6. I was able to be seen by a therapist in a timely manner.

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* 7. I am satisfied with my therapy experience at the Olson Marriage and Family Therapy Clinic.

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* 8. I feel connected to my therapist.

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* 9. My therapist understands my (our) concerns.

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* 10. My therapist created/creates a collaborative and warm atmosphere where I could/can explore my (our) concerns.

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* 11. I am better able to deal effectively with my problems than I was before coming to therapy.

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* 12. My therapist helped/helps me (us) gain a better understanding of personal concerns.

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* 13. Therapy has been/is helpful in improving or maintaining my current relationships.

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* 14. My therapist helped/helps me (us) become more aware of available referrals for other services (for example: psychological, medical, legal, etc.) as needed.

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* 15. My therapist was/is on time for appointments.

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* 16. My therapist projected/projects a professional image.

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* 17. I would recommend my therapist to others.

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* 18. The physical environment of the waiting room was comfortable, warm, and inviting.

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* 19. The front desk staff was/is friendly and helpful.

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* 20. The physical environment of the therapy room was/is comfortable.

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* 21. Additional comments and/or testimonials (optional):

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* 22. I would like the therapist to have access to my additional comments:

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* 23. I give my permission for my testimonial to be used for clinic promotion

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