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Your Feedback Matters

Questions marked with a * are required
1.Client Details
2.Child's Full Name
3.Select Therapist Name
4.How would you rate the expertise of our therapist?
5.How would you rate our therapist's responsiveness to issues and concerns?
6.How satisfied are you with the counseling services provided?
7.How satisfied are you with the overall value provided by our counseling services?
8.How likely are you to recommend our counseling services to others?
9.Which factors influenced your decision to choose our counseling services? (Select all that apply)
10.Which attributes of our counseling services do you consider the strongest? (Select all that apply)
11.Which areas of counseling services do you think need improvement? (Select all that Apply)
12.How would you rate our receptionist on the following attributes ?
Below Average
Average
Above Average
Meet & Greet
Availability on Reception
Inquiry Responsiveness
Post Service Follow-Up
Understanding Client Needs
13.How satisfied are you with the accessibility of the office building?
14.How satisfied are you with the overall office layout?
15.How satisfied are you with the cleanliness of the office facilities?
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