Client Feedback Form

If you have worked with more than one therapist, we ask that you complete a separate survey for each. This helps us provide direct and meaningful feedback to each staff member. If you are no longer attending sessions, we invite you to share your past experience when answering.

First Name

Last Name

Phone

Click here if you only use telehealth and do not visit the office.

I Am Only Telehealth

Do you have any feedback or suggestions for our support staff or office environment?

Do you have any additional feedback so we can continue to improve our services for future clients?