Client Experience Feedback

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We value your feedback about your experience as a client of RFC. Our clients have told us they appreciate having the ability to give input into their own process, and we appreciate the time you take to help us continue to improve on our processes and practices.

**Please note: This survey does not require you to provide any personally identifying information unless you willingly submit it in the relevant sections.

(This survey is made up of 10 scaling questions and takes about 5 minutes to complete.)

Client status

New client (within the last 2 months)

Established client (2 months or longer)

Former client and/or recently ceased therapy

Other:

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Your name (OPTIONAL)

Which services have you primarily participated in with our practice?

Please select all that apply.

Individual Counseling

Couples or Family Counseling

EMDR Therapy

Premarital Counseling

Other:

Your therapy provider(s)

Please select all that apply

Ashton McCurry

Autumn Vaca

Chase Salmons

Emily Greasamar

Jenny Smith

Katie Davin

Sydney Elder

Tiffany Franzo

Other:

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