Jeff Peterson - Quality of Services

Quality of Services
This 10 question survey takes less than one minute to complete. Your feedback will help us improve future services - Thanks!
Please Select the Name of Your Clinician*
1) How did you find this therapist?

Psychology Today On-LineSearched On-Line using Search Engine (i.e. Google)Referral from Friend/FamilyReferral from Psychiatrist, Doctor, Pastor, Social WorkerOther
2) How many times did you see this therapist?

More Than 10 Times5 - 10 Times2 - 4 Times1 Time
3) How would you rate the quality of the service you received

ExcellentGoodFairNeutralPoor
4) Did you receive the type of therapy services that you were expecting?

YesPartiallyNot at All
5) Do you feel better today than before you entered therapy?

Much BetterSomewhat BetterAbout the SameFeel Worse than Before
6) Did the therapist seem to genuinely care about your concerns?

YesSomewhatNoNot Certain
7) Did the therapist seem competent as a mental health provider?

YesSomewhatNo
8) Was the therapist attentive and was note taking appropriate?

Attentive / Note Taking was AppropriateAttentive / But Note Taking was DistractingSomewhat Attentive / Somewhat DistractingNot Attentive / Distracting
9) Would you recommend this therapist to someone else?

YesMaybeNo
10) How would you rate the quality of the building's office and waiting room?

Professional, Comfortable, and CleanGood Enough For the PriceOK, But Less Than IdealNot that Great, Prefer a Better Facility
Any Feedback on Your Experience (Positive or Negative)?
Should be Empty: