Clay Counseling Feedback Survey
Please let us know how we did today! Responses will remain anonymous.
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How satisfied were you with our services? *
Very Unsatisfied
Very Satisfied
How relevant and helpful was your appointment? *
Very Unsatisfied
Very Satisfied
How likely are you to continue working with us? *
Very Unlikely
Very Likely
Was there a long wait to be seen/helped? *
What made your time here satisfying or unsatisfying? *
What is one thing that we can improve on? *
What would you tell your friends/colleagues about us? *
Additional Comments? (Optional)
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