CLIENT FEEDBACK Your satisfaction is very important to use. Please let us know how we’re doing. We appreciate your feedback. Thinking about your counseling experience, how would you rate these aspects? How prepared was your counselor for your visit? Excellent Very good Average Fair Poor How well did your counselor listen? Excellent Very good Average Fair Poor How well did you feel understood by your counselor? Excellent Very good Average Fair Poor Thinking about your experience with our office staff, how would you rate these aspects? Friendly Excellent Very good Average Fair Poor Welcoming Excellent Very good Average Fair Poor Helpful Excellent Very good Average Fair Poor Additional Comments? Would you like to provide us with a testimonial we can use on our website? We'll only use your first name and the first letter of your last name. ----------------- Your Name (required) Your Email (required) Δ Intake Form Disclosure Authorization Privacy Practices Client Feedback
