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Survey
This anonymous survey is intended to help your therapist improve services.
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* Indicates required question
Gender of child
*
Male
Female
Other:
Age of child
*
Choose
3
4
5
6
7
8
9
10
11
12
13
14
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19
How long has your child been seeing this therapist?
*
Just started or about 1 month
2-6 Months
6-12 Months
1-1.5 years
1.5-2 years
More than 2 years
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