Consumer Survey
Please take a moment to fill out this survey
Overall satisfaction of service
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Friendliness
Knowledge
Responsiveness
How was your experience with the onboarding process?
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Reaching out for consulation?
Sigining into Client Portal?
Completing intake process?
Time it took for first session?
Would you recommend our therapy services to a friend or family member?
Yes
No
Maybe
Would you return to Clearer Perspectives Counseling if you were in need of help in the future?
Yes
No
Maybe
How can we improve our service?
Would you like to add additional comments?
Name
First Name
Last Name
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