Pending or New Client Survey

NewClientSurveySarah Best2025-01-22T15:33:40-05:00

Thank you for taking the time to provide feedback on your experience with us. Your input helps us improve our services.

Contact and Scheduling

1. How did you contact us to schedule an appointment?Online SubmissionPhone Call

2. When did you first attempt to contact us?

How long did it take for our staff to respond to your initial contact?(Please specify in hours or days)

4. What type of services were you looking to schedule?Adult MedicalAdult Therapy

Adolescent MedicalAdolescent Therapy

What is your preferred appointment location? *In-PersonTele-HealthOpen to Both In-Person and Tele-Health

5. When was your appointment(s) scheduled?

Were you offered an earlier appointment option?YesNoN/A

6. Where you offered a sooner appointment?

Rate the following aspects of our staff's service on a scale of 1 to 5:
(5 = Excellent, 1 = Poor, N/A = Not Applicable)

1. Professionalism of staff *54321N/A

2. Friendliness of staff *54321N/A

3. My concerns were addressed *54321N/A

4. Explanations were clear and easy to understand: *54321N/A

Please share any additional comments or suggestions to help us improve:

Would you like us to contact you to discuss your feedback or address any concerns?YesNo

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