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New Client Satisfaction Survey
Please rate your experience with Revolutionary Change Counseling by answering the questions below on a scale of 1-5, where 1 is "Not at all," and 5 is "Definitely."
Client Name: *
Your answer
Client's Therapist *
Was your first appointment scheduled quickly, with a sense of urgency?
Not at all
Definitely
Were you able to fill out the online intake paperwork easily?
Not at all
Definitely
Was the office comfortable and inviting?
Not at all
Definitely
Is your therapist easy to communicate with?
Not at all
Definitely
Do you feel like your therapist is a good match for you and your needs?
Not at all
Definitely
Do you feel like everyone you've encountered at Revolutionary Change cares about your wellness?
Not at all
Definitely
Based on your experience, would you recommend Revolutionary Change to a friend or family member?
Is there anything else you'd like us to know about your experience with Revolutionary Change?
Your answer
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