Client Feedback Survey
Name and Surname (Optional)
First Name
Last Name
Date
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
At Flourish Psychology we strive to provide a warm, professional and supportive environment. How strongly do you agree that we are achieving this goal?
*
Strongly agree
Agree
Somewhat agree
Disagree
Strongly Disagree
How satisfied have you been in your experience with our administrative team?
*
Very Satisfied
Satisfied
Somewhat Satisfied
Dissatisfied
Extremely Dissatisfied
Please provide further feedback below:
Do you believe that you have been able to build a strong and supportive relationship with your treating psychologist?
*
Yes
No
How satisfied are you with the care that you received from your treating psychologist?
*
Very Satisfied
Satisfied
Somewhat Satisfied
Dissatisfied
Overall, I feel I made progress towards my treatment goals.
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Please provide further feedback below:
How strongly do you agree that we deliver professional and effective psychological services?
*
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
How likely is it that you would recommend Flourish Psychology to a friend or family member?
*
Highly Likely
Likely
Somewhat Likely
Unlikely
Highly Unlikely
How valuable a service do you believe Flourish Psychology is to the Sunshine Coast community?
*
Very Valuable
Valuable
Somewhat Valuable
Not Valuable
Not at all Valuable
How would you rate your overall experience at Flourish Psychology?
1
2
3
4
5
6
7
8
9
10
Poor
Excellent
1 is Poor, 10 is Excellent
We would appreciate if you would leave us a review on google. Please click the link below.
Is there anything we could have done to improve your overall experience at Flourish Psychology?
Do you have any additional feedback about your experience at Flourish Psychology?
Submit
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