Client feedback form

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Responses to this form are collected anonymously and we will only ask for contact information if you indicate that you would like to be contacted.

How satisfied are you with your experience with ABHS?

Very Unsatisfied

Very Satisfied

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How likely are you to recommend ABHS to someone seeking therapy?

Very Unlikely

Very Likely

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What has been the most beneficial part of working with your therapist and/or other ABHS personnel?

Please share any other thoughts, feedback, or concerns.

Would you like to be contacted by someone at ABHS regarding your feedback? *

Yes

If yes, please provide your name and phone number:

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