PPFEC Client Satisfaction Survey

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Purposeful Play Family Enrichment Center, LLC (PFFEC) works diligently to ensure everyone receives optimal service. We cannot accomplish this goal without your help. There is no obligation to complete this survey, however, if you choose to complete it, the information you provide will remain anonymous.

Today's Date *

YYYY

I was/am receiving services for: *

Myself

My child or my children

My family

All of the above

Approximate length of time in services: *

Client's Status *

Current Client

Former Cleint

Client's Age/s

Client's Gender

Male

Female

Other

Not Disclosing

Clear selection

Optional: What therapist(s) have you seen?

Trudy Ruminer

Katie Carter

Iona Cunningham

Kristin Gibson

DeAsha Hire

Catherine Coffey

Derielle Keiser

Kinsey Bethea

Theresa Kloh

Sandi Tyler

Karley Knight

Ally Randels

Steven Resendez

Other:

Would you like your therapist to have access to this information? *

Yes

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