Client Satisfaction Survey

Client Satisfaction Survey

Please rate your experience at Servicios de Esperanza/Services of Hope with 1 star being extremely Please rate your experience at Services of Hope with 1 star being extremely dissatisfied and 5 stars being extremely satisfied.

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* 1. I am a:

Client (Child)

Client (Adult)

Parent/Guardian

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* 2. My therapist treats me with dignity and respect and is culturally sensitive.

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* 3. The therapist is concerned and seems able to help with problems or concerns presented.

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* 4. There were not too many forms to fill out at the first appointment.

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* 5. The amount of time to wait for the first appointment with the therapist was not too long.

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* 6. The amount of time between appointments with the therapist was not too long.

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* 7. I feel the fees for service is affordable.

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* 8. The hours for appointments and the location of the office is convenient.

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* 9. I have hope or have seen a reduction in the condition, symptoms or complaints will get better.

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* 10. Overall, I was very satisfied with the services received. (satisfaction)