SurveyMonkey Powered Online Survey

Client Feedback Survey

We all grow with feedback. Constructive criticism supports growth and praise nourishes confidence! Please utilize this survey to provide anonymous feedback. I appreciate you taking the time to provide me with this valuable opportunity for growth, Thank you! Angela

*Please note that it is possible that some of your feedback may be utilized in the future on Angela's public website. Any use would be done anonymously with no identifiable information released and in compliance with HIPPA standards. There is no pressure or requirement of you to complete this survey. If you are not comfortable with these terms then please do not complete this feedback survey. Thank you!

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1. Overall How would you rank your experience in therapy with Angela?

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2. Are you satisfied of disatisfied with the service you receive from Angela?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Comments (if applicable)

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3. Would you recommend Angela to your friends and family?

Definitely no

Probably no

Probably yes

Definitely yes

Comments (if applicable)

Client Feedback Survey

Question Title

1. Overall How would you rank your experience in therapy with Angela?

Question Title

2. Are you satisfied of disatisfied with the service you receive from Angela?

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3. Would you recommend Angela to your friends and family?

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4. Have you encountered any barriers to services while working with Angela?

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5. Do you have any other feedback you would like to share with Angela about your experience working with her in counselling?