Client Visit Survey
In an effort to better serve our clients, please take a few minutes to complete this survey about your recent visit.
Name of Peer Mentor *
How would you rate your recent visit at WSPFS?
Poor
Exceptional
How would you rate your overall interaction with your peer mentor?
Do you agree with these statements?
Strongly Disagree
Disagree
Agree
Strongly Agree
Unknown
I felt judged or looked down on for past decisions
I felt judged or looked down on for my parenting style
I felt uncomfortable with the conversation about God or religion in general
Row 4
Do you agree with these statements?
Strongly Disagree
Disagree
Agree
Strongly Agree
Unknown
I felt comfortable sharing with my peer mentor
My peer mentor showed compassion toward me.
My peer mentor shared helpful information with me
Is there anything WSPFS could do better or differently to improve our assistance for you and your family?
Your answer
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