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* 1. How likely is it that you would recommend this company to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 2. How long have you been a client with our company?

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* 3. Overall, how satisfied or dissatisfied are you with our company?

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* 4. Which of the following words would you use to describe our Intake and Admin department staff? 

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

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* 6. Do you prefer Tele-therapy or In-Person counseling sessions the best?

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* 7. How would you describe our office space and facilities?

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* 8. How would you rate the skills and professionalism of your therapist?

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* 9. How would you rate your overall emotional and mental health at the time you first contacted us?

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* 10. How would you rate your overall emotional and mental health currently?

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* 11. Do you have any other comments, questions, or concerns?

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* 12. I felt heard, understood, and respected by my therapist.

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* 13. We worked on and talked about what I wanted to work on and talk about.

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* 14. The therapist's approach is a good fit for me.

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* 15. Overall, today's session was good for me.

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* 16. Contact Information - optional

0 of 16 answered
 

T