Client Satisfaction Survey-Clinical
Thank you for taking the time to provide valuable feedback on your Serenity Place, LLC experiences. Your input helps us learn, improve, and develop our skill to better serve the needs of our clients and community. You are welcome to fill it out for each therapist you've worked with at Serenity Place, if desired.
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What is your therapist's name? *
I feel that my therapist respects me as a person. *
Strongly Disagree
Strongly Agree
My therapist offers me appropriate feedback. *
Strongly Disagree
Strongly Agree
My therapist seems attentive and engaged in our sessions. *
Strongly Disagree
Strongly Agree
It is easy to contact my therapist as needed (rescheduling, questions, etc) *
Strongly Disagree
Strongly Agree
I feel like my therapist tries to understand me and my perspective *
Strongly Disagree
Strongly Agree
I would confidently refer others to my therapist *
Strongly Disagree
Strongly Agree
Is there anything else you would like us to know about your care (i.e. strengths, areas for improvement)?
Do you want a supervisor to contact you about your responses? If so, please provide your name and a phone number and/or email address. (OPTIONAL)
Are you comfortable with your comments being shared on our website and/or social media as a client testimonial for the purposes of endorsement?
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