Care Impact Comment Card
At New London Counseling Center, we know that when our patients grow, connect and heal, it impacts not only themselves, but also their relationships with everyone around them and the broader community. As someone who has felt the impact of someone's care, we'd like to learn more about your experience.

There is no right or wrong answer; we are asking for your honest opinions. We kindly ask that you do not list the name of any individuals that you know to be clients. Aggregate data may be used for marketing and grant purposes.

This form is intended for you to provide feedback and we will not contact you unless you specifically ask us to do so.

Thank you for your time.
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How do you know a current or former client of New London Counseling Center?
We kindly ask that you do not list the name of any individuals that you know to be clients.
If you would like, please share ways you've noticed change or how this patient's treatment has impacted your life and/or relationship
We kindly ask that you do not list the name of any individuals that you know to be clients.
Would you like to share any other testimonials, comments, or suggestions?
We kindly ask that you do not list the name of any individuals that you know to be clients.
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