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Clinical Consultation Progress
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)
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)
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
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
5.
How would you rate the value for money of the service?
Excellent
Above average
Average
Below average
Poor
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
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
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)
9.
On a scale of 0 to 10,
How likely is it that you would recommend Kelly Younkins to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
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10.
Do you have comments, questions, or suggestions on how you can maximize the usefulness in your sessions?
Current Progress,
0 of 10 answered