Carroll Counseling Client Satisfaction Survey

Question Title

* 1. How likely is it that you would recommend this company 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

* 2. Overall, how satisfied or dissatisfied are you with our company?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

Question Title

* 3. How well did our services meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

Question Title

* 4. Overall, how would you rate the care you received from your provider?

Excellent

Very good

Good

Fair

Poor

Question Title

* 5. Overall, how would you rate the service you received from the staff at our office?

Excellent

Very good

Good

Fair

Poor

Question Title

* 6. Please provide any feedback you have for our company