PPC Professional Psychologists & Counsellors
Overall Experience Satisfaction
I appreciate the opportunity to receive your feedback on the services PPC has provided to you. If you prefer, your feedback will not be shared.

Thank you for the opportunity to serve you.

Dennis Coates,

Therapist Seen
Your answer
Client First Name (Optional)
Your answer
Funding Source
EFAP (if applicable)
Your answer
Date of Experience (optional)
Check here if you do NOT want your comments shared with:
Please grade all answers on a scale of 1 (poor) to 5 (exceptional).
How satisfied are you with your overall experience?
How did you find your initial intake experience?
Was the counselling office itself comfortable and appropriate?
How did you find your departure experience (if applicable)?
Did you feel the therapist you saw was a good fit for the issue you have?
Would you feel confident in referring PPC to others?
Would you feel confident in referring your therapist to others?
Comments can be very helpful. Please leave any comments you might have below:
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service