Client Survey

Dear Friend-
Thank you for choosing Salem Heights Church Biblical Counseling. To continue to grow and serve our community well, we would appreciate if you would take a few minutes to fill out this confidential survey regarding your experience with us. This survey will be reviewed by our counseling care coordinator and not shared directly with your counselor. We are grateful to have been a part of your journey to find hope and healing in Christ. Your feedback is valuable and will aid us as we continue to walk alongside others.

Sincerely,
Tara Cox
Coordinator for Counseling Care
Salem Heights Church

Name

First NameLast Name

Counselor's Name (this form will not be shared with your counselor) *

I felt heard, understood and respected.

AlwaysMostlySometimesNever

We talked about what I wanted to work on.

AlwaysMostlySometimesNever

The counselor's approach was a good fit for me.

AlwaysMostlySometimesNever

The counselor used the Word of God in sessions to help with my struggles.

AlwaysMostlySometimesNever

Comments, suggestions, and positive feedback:

Biblical Counseling Survey

Please rate your counseling experience with Salem Heights Church Biblical Counseling