CLIENT OPINIONS OF YOUR EXPERIENCE AT BEST LIFE COUNSELING AND COACHING
First Name
Last Name
E-mail Address
Please rate your therapy experience at Best Life Counseling
Please put a check in the circle the response that best describes your experience at Best Life Counseling
The Therapist Explained the Risks / Benefits of Therapy
1 Highly agree
2 Mostly agree
3 Slightly Agree
4 Neutral
5 Slightly Disagree
6 Mostly Disagree
7 Highly Disagree
I was treated with respect by the therapist
1=Strongly Agree
2=Mostly Agree
3=Slightly Agree
4=Neutral
5=Slightly Disagree
6=Mostly Disagree
7=Highly Disagree
The Treatment plan was explained to me
1=Strongly Agree
2=Mostly Agree
3=Slightly Agree
4=Neutral
5=Slightly Disagree
6=Mostly Disagree
7=Strongly Disagree
I was satisfied with the counseling I received
1=Strongly Agree
2=Mostly Agree
3=Slightly Agree
4=Neutral
5=Slightly Disagree
6=Mostly Agree
7=Strongly Disagree
I would return to the therapist (if needed)
1=Strongly Agree
2=Mostly Agree
3=Slightly Agree
4=Neutral
5=Slightly Disagree
6=Mostly Disagree
7=Strongly Disagree
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