ROH New Client Satisfaction Survey
My assigned Therapist is?
Please Select
Tanya Wagner
Joy Hogue
Robert Celis
Veronica Stanley
Jessica Agbar
Cathy Gonzalez
Angela Bates
Rashida George
Carmen Phelps
Please rate how strongly you satisfied with each of the statements.
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Not Applicable
Professionalism of the Therapist.
I can see, hear and understand my Therapist while online.
My Therapist discussed information about reporting abuse and neglect & Self Harm/Harm to Others.
I was able to express my needs and expectations for therapy.
In my initial session I was told I would be evaluated for a diagnosis and potential treatment goals.
I feel comfortable working with my Therapist.
I feel like my therapeutic needs are being addressed.
There are minimal distractions in my Therapists background during my sessions.
Overall, how satisfied are you with your therapeutic experience?
1
2
3
4
5
Please rate how strongly you agree or disagree with each of the statements.
Totally
Disagree
Somewhat Disagree
Somewhat
Agree
Totally
Agree
Not Applicable
The Theranest Portal is easy to navigate.
I have knowledge about my copay or deductible.
I have been educated about the cancellation policy and associated fees.
I have been able to ask questions as needed.
The on-boarding process for therapy went by smoothly.
I would refer my friends, family or colleagues.
How likely are you to continue to participate in our services?
Very likely
Likely
Not likely
Not likely at all
Not know
Do you have any other feedback regarding your Therapist or Rivers of Healing?
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