Client Satisfaction Survey

Client Satisfaction Survey

We value your feedback! Please help us be the best we can be!
Please answer the following questions about the care and treatment you or your child received at Ellie.

If both you and your child received services, please fill out two surveys: one for your child and one for yourself.
What service(s) have you or your child received from Ellie?*

Therapy/CounselingMedication ManagementCTSS ServicesARMHS ServicesIn-Home TherapyChild Services ProgramReunification or Co-Parenting ServicesProtector OverwatchEllie Express ProgramVirtual Reality TherapyPsychological AssessmentIntero Psychedelic Therapy
Who is/was your/your child's provider?*
Who is/was your/your child's provider (if you/they have a second provider at Ellie)?

Please rate your overall opinion of Ellie in the following areas.
I would recommend Ellie to a family member or friend.*

1

2

3

4

5

1 is Not at all likely, 5 is Extremely Likely
Do you have any additional feedback about the care and treatment you or your child received?
Without sharing your name or identity, can we share your feedback in our online and/or print marketing materials?

YesNo

Please answer the following questions about the care and treatment you or your child received at Ellie.