Chattahoochee Child Psychology Services:
ANONYMOUS Intake Satisfaction Survey

Initial Contact

Question Title

* 1. How did you find us?

Word of Mouth

Google

Website: www.chattahoocheechildpsychology.com

Facebook

Psychology Today - Dr. Green

Psychology Today - Macayla Coleman

Psychology Today - Jorge Lopez

Referred by my doctor/my child's doctor

Friend

Lawyer

Insurance Company

Other

Other (please specify):

Question Title

* 2. If you used our Website, how helpful was it?

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

Not Applicable

What information/features would make our Website more helpful?

Question Title

* 3. If you used Psychology Today in finding us, how helpful was the page you found?

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

Not Applicable

What information would make the Psychology Today page that you viewed more helpful?

Question Title

* 4. How did you first contact us?

Telephone - my call was answered

Telephone - I left a voice mail

Question Title

* 5. I was seeking services for:

Counseling for my child

Counseling for myself

Couples counseling

Psychological Assessment for my child

Psychological Assessment for myself

Family counseling

Chattahoochee Child Psychology Services: ANONYMOUS Intake Satisfaction Survey

Initial Contact

Question Title

* 1. How did you find us?

Question Title

* 2. If you used our Website, how helpful was it?

Question Title

* 3. If you used Psychology Today in finding us, how helpful was the page you found?

Question Title

* 4. How did you first contact us?

Question Title

* 5. I was seeking services for:

Chattahoochee Child Psychology Services:
ANONYMOUS Intake Satisfaction Survey