Client Feedback Form
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We value your opinion and always want to improve our services. We appreciate the opportunity to have worked together!

Note: Your answers are confidential. Any feedback given to your therapist will not identify you.
Overall, are you satisfied with your experience at Wellspring Connection? *
Which therapist did you work with? *
Please share additional comments about your experience:
The following questions are optional, but greatly help us to improve our client experience:
How would you rate your experience of scheduling appointments?
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Does your therapist start and end sessions on time?
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My therapist is a good listener
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I feel respected and not judged by my therapist
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My therapist has provided me with useful perspective and/or tools
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I had no problems communicating with Wellspring Connection administration
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Please describe:
If you don't feel that your therapist is the best match for you, please email us at info@wellspringconnection.com
We would be happy to link you with another therapist or refer you to some great colleagues in our community!
Please share any other suggestions we can make to improve the client experience:
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