Post Service Survey

Below are some questions about your therapy sessions. Please consider each question and answer on the continuum line that best represents your feelings during your appointment. Your responses will be helpful in improving your services. Please feel free to add comments for any question. Thank you very much for your cooperation.

Question Title

* 1. What is the name of the therapist you are working with?

Richard Frisby, LPC

Cristina Pasos, LAC

April Munoz, MS

Paige Cotton, LMSW

Monica Canez, MSW

Alysa Orehowsky, MSW

Sandra Casas, LAC

Natalia Carranza, LMSW

Question Title

* 2. How well did your therapist collaborate with you on goals?

A great deal

A lot

A moderate amount

A little

None at all

Question Title

* 3. Did sessions feel organized and purposeful?

A great deal

A lot

A moderate amount

A little

None at all

Question Title

* 4. To what extent do you feel you made progress toward your goals?

A great deal

A lot

A moderate amount

A little

None at all

Question Title

* 5. How clearly did your therapist explain the treatment process or interventions?

Extremely clear

Very clear

Somewhat clear

Not so clear

Not at all clear

Question Title

* 6. How satisfied are you with the overall intake process?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Post Service Survey

Question Title

* 1. What is the name of the therapist you are working with?

Question Title

* 2. How well did your therapist collaborate with you on goals?

Question Title

* 3. Did sessions feel organized and purposeful?

Question Title

* 4. To what extent do you feel you made progress toward your goals?

Question Title

* 5. How clearly did your therapist explain the treatment process or interventions?

Question Title

* 6. How satisfied are you with the overall intake process?

Question Title

* 7. What would make your experience better?