Clay Counseling Feedback Survey

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Clay Counseling Feedback Survey

Please let us know how we did today! Responses will remain anonymous.

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* Indicates required question

How satisfied were you with our services? *

Very Unsatisfied

1

2

3

4

Very Satisfied

How relevant and helpful was your appointment? *

Very Unsatisfied

1

2

3

4

Very Satisfied

How likely are you to continue working with us? *

Very Unlikely

1

2

3

4

Very Likely

Was there a long wait to be seen/helped? *

Choose

Yes

No

What made your time here satisfying or unsatisfying? *

Your answer

What is one thing that we can improve on? *

Your answer

What would you tell your friends/colleagues about us? *

Your answer

Additional Comments? (Optional)

Your answer

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