Counseling Experience Survey
We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. All responses will be kept confidential and anonymous. Thank you for your time!
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First and last name:
Please select the type of service you received from us: *
Your first contact with the Austin Mindfulness Center (website, phone, email) was: *
Your experience of getting started at Austin Mindfulness Center was: *
It was difficult to get in touch with and schedule an appointment with a therapist.
It was easy to get in touch with and schedule an appointment with a therapist.
Your therapist listens to you carefully, respects you and understands your concerns: *
Not at all
Your therapist shows up on time for each session: *
Your therapist is helping you achieve the purpose for which you sought counseling: *
Not at all
Your therapist provides you skills that will help you in the future: *
Not at all
You and your therapist are working together towards agreed goals: *
Not at all
The therapist and their approach to therapy: *
Are NOT a good fit for me
ARE a good fit for me
Your therapist has talked about the benefits of mindfulness and has taught you mindfulness tools (meditation, breathing exercises, journaling, mindful listening, etc.) *
Not at all
Would you like to learn even more about Mindfulness? *
Not at all
How likely would you recommend Austin Mindfulness Center to a friend or colleague?
Not likely
Very likely
Clear selection
Have you heard about the Mindfulness Workshops being offered at Austin Mindfulness Center? *
How would you rate your overall therapy experience? *
Overall, there's something missing in the sessions
Overall, the sessions are right for me
Please select your therapist: *
Anything else you would like us to know about your experience with us?
Do you authorize the Austin Mindfulness Center to share your comments as an anonymous testimonial? *
Would you like someone from Austin Mindfulness Center to reach out to you to address your concerns? *
Thank you for your participation! If there is something we can do better, you can reach out to us anytime at
All  answers are confidential and will not be linked with your name or personal information.

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