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Satisfaction Survey

1. Select your therapist

2. How satisfied are you with the services provided by your therapist?

3. Do you have any comments regarding your therapist? (comments are only reviewed by QCS directors)

4. Would you pefer to meet with a different therapist? *

No! I am very happy with my therapist

I might be interested in discussing this (submit email and/or phone number below)

Yes, I think another therapist may be a better fit (submit email and/or phone number below)

5. Would you like to speak with the clinical director via email?

6. Would you like to speak with the clinical director over the phone?

7. How likely are you to recommend Quality Counseling Services to a friend or colleague?

8. Do you have any other comments or concerns? Answers are only viewed by QCS directors.

Thanks for your feedback! Answers are viewed ONLY by QCS directors

P. 541-890-9594 | F. 541-275-0904 admin@qualitycounselingservices.net

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