Professional Survey
We appreciate any feedback that will help our staff and/or office improve and support you or your family better!

***Please NOTE that all results are kept confidential and this survey will not track your identity***
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What therapist do you see?
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Interactions with your therapist.
These questions pertain to the interactions with your therapist only.
How satisfied are you with your therapist timeliness to show for appointments?
Not satisfied
Very satisfied
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How satisfied are you with your therapists professionalism?
Not Satisfied
Very Satisfied
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How satisfied are you with your therapist office? (skip if telehealth)
Not Satisfied
Very Satisifed
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Are there things that would help improve your comfortability within your therapists office?
How satisfied are you with the cleanliness of your therapist space? (skip if telehealth)
Not Satisfied
Very Satisfied
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How satisfied are you with the therapeutic connection between yourself and your therapist?
Not satisfied
Very Satisfied
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Is there any feedback you'd like to give to your therapist?
Any feedback you'd like the co-managing partners to be aware of with your therapist?
Authentic Roots Office Suite
These questions pertain to the interactions with the Authentic Roots Suite as a whole- not your therapists interaction or space.
How satisfied are you with the feeling of the Authentic Roots Therapy office? (skip if telehealth)
Not satisfied
Very satisfied
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Are there things we can change about our suite to help you feel more welcome or engaged? We welcome all feedback as we hope the space welcomes all.
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Other comments or feedback?
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