Community Comment Card
At New London Counseling Center, our mission is to connect, grow, and heal our community through the provision of outpatient counseling services and community-wide educational events and classes. As someone who has been touched by our mission, 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.
Email address *
What is today's date?
MM
/
DD
/
YYYY
What New London Counseling Center event did you participate in or how did you learn about New London Counseling Center?
We kindly ask that you do not list the name of any individuals that you know to be clients.
What did you enjoy or find useful in your experience with New London Counseling Center?
We kindly ask that you do not list the name of any individuals that you know to be clients.
Did you learn anything new about mental health or gain a new perspective on a topic as a result of your experience with New London Counseling Center? If so, please explain
We kindly ask that you do not list the name of any individuals that you know to be clients.
What can we do to improve your future experiences with New London Counseling Center?
We kindly ask that you do not list the name of any individuals that you know to be clients.
Following your experience, did you understand the mission of New London Counseling Center? Do you currently have any questions about the organization? If so, please share
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.
Submit
Never submit passwords through Google Forms.
This form was created inside of New London Counseling Center. Report Abuse