Client Satisfaction Survey

Please rate how strongly you are satisfied with each of the statements. *

	Not Satisfied	Somewhat Satisfied	Satisfied	Very Satisfied	Not Applicable
Professionalism of the company
Responsiveness to questions and needs
Service quality
Performance of the admin staff
Ease of scheduling an appointment

Please rate how strongly you agree or disagree with each of the statements. *

	Totally Disagree	Somewhat Disagree	Somewhat Agree	Totally Agree	Not Applicable
Location is easy to find.
Office is easily reachable by phone/email.
Company representatives always meet my expectations.
Information provided always met my needs.
I would recommend Balance Beacon to others.

Did you receive financial information about your visit prior to attending?*
Overall, how satisfied are you with our customer service?*
First Visit Experience

Please tell us a little bit about your first session with your therapist.
Who did you see?*

Caresse Okafor, LPC-AGenniffer Williams, LPC, LMFTDr. LaFonya Jones-HinesDr. Nichelle WallDr. Reshaunda Strickland

Please rate your satisfaction with your therapist*

	Not Satisfied	Somewhat Satisfied	Satisfied	Very Satisfied
Friendly
Understood my problem/need
Educated me about the therapy process.
Answered my questions or concerns

Do you believe your therapist was a good fit for your needs? *
If no or unsure, please provide additional information.
Continuing therapy?*

I've scheduled (or need to) follow up appointments with my therapistI'd like help connecting with another therapist (we will call or email you to get that set up)I am not interested in scheduling a follow up appointment.
Do you have any feedback for us to improve your experience or the experience of future clients?
Overall experience with your therapist*
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Customer Service Satisfaction Survey