Client Experience Survey

Client Experience Survey

We are always trying to grow and do better. We appreciate any feedback you can provide. Your answers will NEVER be used for a client testimonial or for marketing purposes. These responses are kept confidential and your therapist will not know who sent in feedback. Thank you for helping us improve!
Your Initials [not required]
Gender Identity
Ethnicity
Sexual Orientation
Who referred you to Growing Well and/or how did you hear about us?
I sought specialty care at Growing Well Counseling for (check all that apply)

Infertility SupportPregnancy/Baby lossPregnancy SupportBirth TraumaPostpartum SupportPerinatal Sex TherapyParenting SupportOther
Initial Contact with Growing Well Counseling

First impressions matter!
How would you rate our website/profile information?
Initial Experience- Contacting Growing Well, being matched to a therapist and getting scheduled

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1 is Worst, 5 is Best
Getting started- How would you rate your experience with Intake paperwork, accessing Simple Practice, signing consent forms etc.

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1 is Worst, 5 is Best
When I STARTED at Growing Well Counseling my distress level was

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1 is Not distressed at all, 10 is Extremely Distressed
My distress level TODAY

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1 is Not distressed at all, 10 is Extremely Distressed
How long did you receive care at Growing Well Counseling?
it's ok to estimate! Sessions, weeks, months, years
Comments about getting INTO treatment at Growing Well Counseling
The Practice

Offices, Platforms
How did you receive care at Growing Well Counseling (check all that apply)

TelehealthTolland In PersonHamden In Person
How would you rate Simple Practice Telehealth
How would you rate the TOLLAND office if you have been?

overall rating
Location of TOLLAND office [convenience, easy to find, access, parking]
Decor & Comfort at TOLLAND location
Cleanliness & amenities at TOLLAND location
How would you rate the HAMDEN office if you have been?

overall rating
Location of HAMDEN office [convenience, easy to find, access, parking]
Decor & Comfort at HAMDEN location (therapy office only)
Cleanliness & amenities at HAMDEN location
Any comments on our accommodations [please specify which location]
Mental Health Professional
Therapist [who was the primary person you saw for care]
First contact with your provider- How was your experience in terms of professionalism, easy to schedule, did they state clearly what to expect?

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1 is Worst, 5 is Best
I was able to see my therapist when I needed to.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist was professional.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist is/was responsive to email/text communication out of session within 1-2 business days.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist was on time and reliable around scheduling.

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1 is Strongly Disagree, 5 is Strongly Agree
I feel confident that my therapist protected my privacy.

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1 is Strongly Disagree, 5 is Strongly Agree
I was treated respectfully by my therapist.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist focuses on me in session.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist genuinely understands my problems, thoughts and feelings.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist had the clinical training and skills to be useful to me.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist's approach or style was a good fit for me.

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1 is Strongly Disagree, 5 is Strongly Agree
I would consider my therapist a perinatal specialist.

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1 is Strongly Disagree, 5 is Strongly Agree
I felt safe and comfortable to talk about my issues in counseling.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist and I worked well together/were compatible.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist helped me think about changes I want to make in my life.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist helped me to find my own solutions.

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1 is Strongly Disagree, 5 is Strongly Agree
I have learned skills to help me manage future problems.

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1 is Strongly Disagree, 5 is Strongly Agree
The changes I made in therapy are sustainable.

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1 is Strongly Disagree, 5 is Strongly Agree
I could have done more to make counseling more useful for me.

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1 is Strongly Disagree, 5 is Strongly Agree
My therapist could have done more to make counseling more useful for me.

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1 is Strongly Disagree, 5 is Strongly Agree
I am satisfied with the accomplishments that I made in counseling.

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1 is Strongly Disagree, 5 is Strongly Agree
My concerns that brought me to Growing Well Counseling have improved as a result of the services provided.

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1 is Strongly Disagree, 5 is Strongly Agree
My wellness has improved as a result of my participation in counseling.

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1 is Strongly Disagree, 5 is Strongly Agree
My relationships have improved as a result of my participation in counseling.

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1 is Strongly Disagree, 5 is Strongly Agree
What I have learned from coming to Growing Well Counseling has led to positive changes in my life.

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1 is Strongly Disagree, 5 is Strongly Agree
I would recommend Growing Well Counseling to a close friend with perinatal stressors.

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1 is Strongly Disagree, 5 is Strongly Agree
I would recommend MY THERAPIST to a close friend with perinatal stressors.

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1 is Strongly Disagree, 5 is Strongly Agree
Comments about your provider and/or your care at Growing Well Counseling
Billing/Financials

If you had any financial or billing concerns arise in your care here
Your care at Growing Well Counseling was

In network/You accept my insuranceOut of network/Self PayOut of network/MentayaSelf-Pay/No insurance involved
How would you rate your experience having claims process at Growing Well
How would you rate any contact with our Billing Specialist
How would you rate your experience with Mentaya [if applicable]
Billing Comments, how can we improve?

Thank you so much for your feedback!
Anything else we should know?
Please leave your email ONLY if you wish to be contacted about your feedback.
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We appreciate your time today.
Should be Empty:

Client Experience Survey

Initial Contact with Growing Well Counseling

The Practice

Mental Health Professional

Billing/Financials

If you are no longer seeing a therapist at Growing Well

We appreciate your time today.