Client Satisfaction Survey
We value your opinion, and ask that you please take a few minutes to complete this survey about your experience at KERNERSVILLE COUNSELING CENTER. Your responses will not effect your treatment in any way.
Name of Client
Name of guardian completing this form (if client is a minor)
Which therapist do you work with at KCC?
Jasmine Fulp Good
Jessie Tucker Mitchell
How long have you (or your child) been a client at KCC?
Less than 3 months
3 - 6 months
6 months - 1 year
1 - 2 years
More than 2 years
How long did you have to wait to be scheduled once you inquired about services?
Less than 2 weeks
3 - 4 weeks
5 - 6 weeks
7 - 8 weeks
More than 2 months
Overall, I am satisfied with the counseling services that I am receiving at KCC
My therapist starts and ends my appointments on time
Most of the time
I have never had to wait more than 10 minutes past my appointment time
My therapist understands my problems/concerns
I am confident in the skills of my therapist
My therapist is attentive and compassionate
I feel respected and accepted by staff at KCC
I am making progress towards my treatment goals
I would recommend KCC to my family and friends
If you have any specific complaints or concerns, please let us know so that we can address it.
We always welcome your thoughts! Please provide us with any comments or suggestions for improving our services.
If you would like to be contacted regarding your experience with KCC, please enter your contact information here.
Thank you for completing this survey.
We appreciate your business.
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