Client Satisfaction Survey * 1. Overall, how easy do you find it to schedule appointments? Extremely easy Quite easy Moderately easy Slightly easy Not at all easy * 2. How likely are you to use our service again in the future? Extremely likely Quite likely Moderately likely Slightly likely Not at all likely * 3. Do you have any other comments, questions, or concerns? * 4. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older * 5. Do you have any other comments, questions, or concerns? * 6. What changes would most improve your experience with IMH? * 7. Overall, are you satisfied with your experience using therapy at IMH, dissatisfied with it, or neither satisfied or dissatisfied with it? Extremely satisfied Quite satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Quite dissatisfied Extremely dissatisfied * 8. What would make you more likely to use therapy services in the future? * 9. How well do you feel our company protects your privacy? Extremely well Quite well Moderately well Slightly well Not at all well Done