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Consultation Evaluation Form
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Email
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Your email
Full Name
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Your answer
Name of Consultant Used #1
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Your answer
The consultant was prepared and knowledgeable:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant answered my questions with competence:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant treated me with respect:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant seemed comfortable and competent in addressing any issue brought up about diversity, inclusion, and EMDR as an anti-oppression and anti-racist modality.
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
Please use this space to provide any additional feedback you might have for us:
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Your answer
Name of Consultant Used #2
*
Your answer
The consultant was prepared and knowledgeable:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant answered my questions with competence:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant treated me with respect:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant seemed comfortable and competent in addressing any issue brought up about diversity, inclusion, and EMDR as an anti-oppression and anti-racist modality.
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
Name of Consultant Used #3
*
Your answer
The consultant was prepared and knowledgeable:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant answered my questions with competence:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant treated me with respect:
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
The consultant seemed comfortable and competent in addressing any issue brought up about diversity, inclusion, and EMDR as an anti-oppression and anti-racist modality.
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Required
Please use this space to provide any additional feedback you might have for us:
*
Your answer
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