Client Satisfaction Survey
THANK YOU FOR COMING TO WALK-IN AND COMPLETING THIS SURVEY!
This survey is completely anonymous. It is 12 questions and takes about 2 minutes. Please complete this survey only once.
1.
Which best describes your visit to Walk-In? Choose one.
Un-scheduled Zoom visit to a virtual clinic
Scheduled appointment with a counselor
Unscheduled in-person visit to the Minneapolis clinic
2.
Did you connect by. . .
Phone
Computer login
In-person
3.
How did you find out about our services?
Check all that apply.
Someone who knew about or used Walk-In themselves
Internet search
Professional in another agency or private practice
Saw it on Facebook or other social media (which?)
Saw an ad (newspaper, newsletter, etc.)
Other (tell us how)
4.
How important was each of the following in your decision to come to Walk-In Counseling Center?
Free/no cost/no insurance
Ability to remain Anonymous
No appointment necessary
Convenient clinic times
Good reputation
Counselors are mental health professionals
Other (please specify)
5.
How satisfied are you with the services you received?
Very satisfied
Mostly satisfied
Don't know
Somewhat dissatisfied
Very dissatisfied
Other (we'd love your feedback)
6.
As a result of coming I feel more hopeful that I can handle things.
Yes, absolutely
Yes, I think so
Don't know
No, not really
No, I feel much worse
Other (please specify)
7.
If a friend or loved one were in need, I would recommend this service.
Yes, absolutely
Probably
Don't know
No, definitely not
Please tell us more if appropriate:
8.
What is your approximate household income?
$50,000 and higher
$30,000 - $50,000
Less than $30,000
Have no idea
Prefer not to say
9.
How do you describe your race/ethnicity? (Check all that apply)
White/Caucasian
Black/African American
African Immigrant
Hispanic or Latinx
Asian/Asian American
American Indian
Mixed Race
Pacific Islander
Other
10.
How many people live in your household including yourself?
11.
Did you come by?
Car
Public transit (bus, train)
Walk
Zoom/Phone
12.
Any additional comments or feedback you'd like to give?
