Avenues Satisfaction Survey
Please answer these 12 short questions to help assist us in making your experience the best we can.
First Name Only (Optional)
Your answer
Therapist/Doctor's Name *
Your answer
1. How would you describe your first interaction with a staff member of Avenues of Counseling and Mediation, LLC?
2. How long was the wait between your first call and first visit?
3. How convenient is the location of the private practice for you?
4. How would you describe the overall appearance and comfort of the office?
5. How would you describe the help you receive at the check-in window?
6. How would you describe the help you receive when you call the office?
7. How would you describe the first meeting with your Clinician?
8. Do\Did you feel your Clinician understands your issue(s)?
9. Do/Did you feel confident in your Clinicians ability to be able to treat you or your family member?
10. How many sessions have you had with your clinician?
11. Would you recommend your Clinician to a friend?
12. Would you recommend Avenues of Counseling and Mediation, LLC to a friend?
Comments to explain any of the above:
Your answer
Can we post your comments on our website under reviews?
Would you like the Owner to contact you regarding your experience at Avenues?
If yes, please give the receptionist your name and phone number.
PLEASE INQUIRE WITH THE FRONT DESK IF YOU WOULD LIKE TO TAKE AN ADDITIONAL SURVEY REGARDING ANOTHER CLINICIAN.
I sincerely appreciate your time in completing the Survey. Your assistance will help Avenues maintain a high quality of care for everyone. Lisa M. Borchert-Hrivnak, MAEd, LPCC, Owner
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