Clinical Consultation Progress

Question Title

* 1. Overall, how satisfied or dissatisfied are you with Kelly's Consultation?

Very satisfied

So far, so good!

Still formulating my opinion

I don't think this is what I want or need

Not what I expected

Dissatisfied

Other (please specify)

Question Title

* 2. Which of the following words would you use to describe our service? Select all that apply.

Reliable

High quality

Useful/Practical

Unique

Valuable

Insightful

Impractical

Ineffective

Poor quality

Unreliable

Other (please specify)

Question Title

* 3. How well does our service meet your needs?

Extremely well

Better than what I had access to previously

Its getting the job done

Not so well- this may not be what I want/need

Does not appear to be

Question Title

* 4. How well are the sessions helping you with your Goal/Challenges?

Very helpful

Helping

Haven't experienced a significant change/progress yet but I still find value in my sessions

Does not appear to be helping

Not helping

Not sure yet

Question Title

* 5. How would you rate the value for money of the service?

Excellent

Above average

Average

Below average

Poor

Question Title

* 6. How responsive have we been to your questions or concerns about our services?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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* 7. How long have you been a customer of our service?

This is my first purchase

Less than six months

Six months to a year

1 - 2 years

3 or more years

I haven't made a purchase yet

Question Title

* 8. How likely are you to purchase any of our services again?

Extremely likely

Likely

Somewhat likely

Only if (x, y, z) is different next time: Please specify below what you would want to be different

Not at all likely

Other (please specify)

Question Title

* 9. How likely is it that you would recommend Kelly Younkins to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

Clinical Consultation Progress

Question Title

* 1. Overall, how satisfied or dissatisfied are you with Kelly's Consultation?

Question Title

* 2. Which of the following words would you use to describe our service? Select all that apply.

Question Title

* 3. How well does our service meet your needs?

Question Title

* 4. How well are the sessions helping you with your Goal/Challenges?

Question Title

* 5. How would you rate the value for money of the service?

Question Title

* 6. How responsive have we been to your questions or concerns about our services?

Question Title

* 7. How long have you been a customer of our service?

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* 8. How likely are you to purchase any of our services again?

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* 9. How likely is it that you would recommend Kelly Younkins to a friend or colleague?

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* 10. Do you have comments, questions, or suggestions on how you can maximize the usefulness in your sessions?