Client Satisfaction Survey

Clinician Name
On a scale of 0-10 My therapist listens well to what I am trying to communicate
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10
on a scale of 0-10 What is your overall satisfaction with your therapist?
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10
If you are currently in therapy, would you like to continue with your current therapist or try a different Wholistic Health therapist?
Continue with my current therapist
Try a different therapist
I am not currently interested in continuing therapy.
If you are no longer in therapy with Wholistic Health, what was the main reason for stopping your counseling?
Not Applicable - I am currently in therapy at Wholistic Health
The goals for my therapy were met
Time wasn't convenient for my schedule
Counselor wasn't a good fit
Decided I no longer wanted counseling from any therapist
Too expensive
What is your overall satisfaction with the scheduling process?
How helpful has the Wholistic Health administrative staff been when you have had questions or concerns?
Please add any comments about your interactions with administrative staff.
Please list any specific concerns or problems you had with your therapist
Thank you for sharing your thoughts! Please fill out your name below if you would like. if not feel free to stay anonymous.
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