Feedback Form
We appreciate and welcome your feedback! Thank you for taking the time to fill out this short survey. You can also contact the Center Director at erin@cccpinehurst.org
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Overall satisfaction
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
My initial contact was positive & efficient.
The counseling process was explained to me.
My counselor helped guide me to the right resources for my situation.
Overall, I had a positive experience at the Counseling Center.
I would recommend the Counseling Center to others.
Is there anything else you would like us to know?
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