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Session Satisfaction Survey (Anonymous)
Help us by giving us feedback to 3 scaling questions about your recent appointments.
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* Indicates required question
Who is your therapist
*
Your answer
My session provided me with value towards getting results (tools, skills, direction, perspective, resources)
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
The therapist made me feel safe and understood. I did not feel judged.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
The therapist was competent, professional, and on time.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Help us improve! What is one thing we can do to serve you better in session?
Your answer
How is your experience with scheduling
Your answer
How is your experience with the billing department
Your answer
How is your experience with the client portal
Your answer
Do you prefer in-person or telehealth sessions
In-Person
Telehealth
Clear selection
If you are no longer active in therapy, why did you stop?
I'm still currently in therapy
My goals were met
Available sessions didn't match my schedule
Insurance wouldn't cover / too expensive
No longer interested in therapy
Therapist wasn't a good fit (please reach out to the care coordinator to get scheduled with someone else)
Other:
Clear selection
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