Client Care Follow-up Survey

Client Care Follow-up Survey

Thank you for taking the time to share your thoughts with us. This survey is designed to help us understand your experience with therapy and the support you receive. Your honest feedback is incredibly valuable in helping us improve our services, recognize the hard work of our counselors, and ensure that we are meeting your needs. Your responses will remain confidential, and your feedback will be used to improve therapy services and to provide a better experience for all clients. The survey should take about 5-10 minutes to complete. If at any point you feel uncomfortable or prefer not to answer a question, feel free to skip it.
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1.b Person filling out this survey:
2.a Name of individual receiving services:
If under the age of 18, please also list parent or legal guardian's name below.
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3. Guardian's Name:
4.a Generally, how many times do you see your counselor(s) on a weekly basis?
5.a Approximately how long are your counseling sessions?
6.a Where do you typically see your counselor for appointments?
7. Rate your level of satisfaction with Still Waters COUNSELOR(s).
8.a Have you had any challenges or barriers accessing therapy with your counselor?
Check all that apply.
9. Rate the overall effectiveness of the counseling services you receive(d) from Still Waters.
10. Do you feel that you (or the individual you represent) has benefited from receiving counseling from Still Waters?
11. Would you like to continue to see your current counselor or request a new counselor?