Tony Daltoso LMHC Client Satisfaction Survey Question Title * 1. Overall, how satisfied or dissatisfied are you with Tony Daltoso? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 2. What issues, problems, or needs brought you into counseling? Question Title * 3. How well did you feel that Tony Daltoso understood your issues, problems, or needs in counseling? Extremely well Very well Moderately well Slightly well Not at all well Question Title * 4. How easy was it to understand the information presented to you in counseling? Extremely easy- It made perfect sense Very easy- I got it Moderately easy- I figured it out eventually, but it took a while. Not so easy- I was confused Not at all easy- It made No Sense at all! Question Title * 5. What did Tony Daltoso do really well as your counselor? Question Title * 6. What changes would most improve the experience of counseling with Tony Daltoso? Question Title * 7. Do you currently have other problems or issues you struggle with for which you are seeking assistance or a solution? Question Title * 8. What do you like most about Counseling with Tony Daltoso? Question Title * 9. How likely is it that you would recommend Tony Daltoso LMHC to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 10. If your experience of counseling with Tony Daltoso LMHC was satisfying and you would recommend him to others, would you be willing to write a brief testimonial about your experience of counseling with him? THIS IS COMPLETELY OPTIONAL. It will remain completely anonymous unless you identify yourself with your name or initials. Thank you for your feedback. It will help me to become a better counselor. Tony Daltoso Done