Elevation Counseling Client Satisfaction Survey
Dear Elevation Counseling Client - We want to take the opportunity to thank you for choosing us. We are always looking for ways to improve our services and ensure that you are matched with the best counselor to meet your treatment goals. Please take a moment to complete the survey. We really appreciate your time and your opinions!

Be sure to "SUBMIT" at the bottom of the page so we receive your answers.

What is your (client) last name?
You may leave blank if you prefer to stay anonymous.
Your answer
What is your clinician's name *
I am satisfied with the quality of the therapy I am receiving (or received). *
My therapist listens to (or listened to) what I was trying to communicate. *
I would choose to return to this therapist if I needed help in the future. *
My therapist seems to understand what I am (or was) thinking and feeling. *
I have a clear understanding of the goals my therapy is working (or worked) to achieve and the steps we are taking to achieve those goals. *
What is your overall satisfaction with your therapist? *
If you are currently in therapy, would you like to continue with your current therapist or try a different Elevation Counseling therapist? *
If you are no longer in therapy with Elevation Counseling, was was the main reason for stopping your counseling? *
What is your overall satisfaction with the scheduling and check-in process? *
Other comments that would help Elevation Counseling or your therapist improve?
Your answer
Thank you for sharing your thoughts! If you indicated that you would like a different therapist, please contact us so we may provide you other options.
Submit
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This form was created inside of Elevation Counseling.