Client Satisfaction Survey-English

Client Satisfaction Survey

Please help us improve our services by answering some questions about your experience at/with Family Service of El Paso. The survey should take 3-4 minutes. We are interested in your honest feedback, whether it is positive or negative. Your responses will not affect your current or future treatment. If you would like to keep your responses anonymous, do not write your name at the end of the survey.
Contact Information

Providing us your contact information is not mandatory, your responses and feedback will remain confidential and will not be used against you in any way. This is to incentivize you for making the effort to complete this survey. This will help us reach out to you if you win the movie ticket drawing.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What type of service have you received? (please select all that apply)*

Individual sessionsFamily sessionsCouples sessions
How many sessions have you attended?*
I feel better I can better manage my symptoms now than before starting the program/treatment.*

Strongly DisagreeDisagreeSlightly DisagreeSlightly AgreeAgreeStrongly Agree
I feel i have aquired increased knowledge and awareness of healthy lifestyle.*

Strongly DisagreeDisagreeSlightly DisagreeSlightly AgreeAgreeStrongly Agree
At Family Service, we appreciate you taking the time to share your feedback by completing this survey.
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Client Satisfaction Survey