Your Feedback is Important

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Thank you for selecting us to be your mental health care provider. At Hope+Wellness, your feedback is genuinely important and matters.

We would love to hear your thoughts on how we can improve your overall experience.

Thank you for taking time to share your thoughts to help us be the best versions and therapists for you and future clients in the community.

We appreciate the opportunity to work with you!

Your Last Name *

Your Therapist's Name *

Dr. Kayleigh Hale

Kristen Barnes, LCSW

Krystal Carter, LPC, NCC

Lauren Maxwell, LPC, NCC

Dr. Michelle Hallahan, LPC, NCC

Dr. Victoria Smith

Jamie Glidewell, LCSW-C

Jenny Goebel, LCSW

Other

Please rate your sessions with your therapist:

I'm satisfied with the quality of therapy I am receiving. *

1 = Very dissatisfied 5 = Very satisfied

Strongly Disagree

Strongly Agree

I feel heard, supported, and understood by my therapist. *

Strongly Disagree

Strongly Agree

My therapist's approach is a good fit for me. *

Strongly Disagree

Strongly Agree

My therapist helped me gain new insight. *

Strongly Disagree

Strongly Agree

My therapist has clearly explained the goals we are working to achieve through therapy. *

Strongly Disagree

Strongly Agree

My overall satisfaction with my therapist is: *

Strongly Dissatisfying

Highly Satisfying

Your experience with administrative staff:

How was your experience with scheduling an appointment at Hope+Wellness?

It was difficult to get in touch with and schedule an appointment with a therapist.

It was easy to get in touch with and schedule an appointment with a therapist.

Clear selection

How is/was your experience with our billing department? *

I did not have a good experience with the billing department.

I have/had a good experience with the billing department.

Overall:

I would recommend my therapist to others based on my experience. *

Yes

I would recommend Hope+Wellness to others based on my experience.

Yes

Clear selection

Please provide feedback on any aspect of therapy or our services you like for us to know. *

Thank You!

We sincerely appreciate your feedback and take every response seriously. Information will be used to improve current and future clients' experiences at Hope+Wellness. Thank you!

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