This form Allows you an apportunity to provide feedback to your therapist. This will help improve the service offered to you and to others.
***You DO NOT need to identify yourself ****
PLEASE MARK THE BOX WHICH MOST CLOSELY CORRESPONDS TO HOW YOU FEEL EACH STATEMENT:
THANK YOU !
(Individual counseling, family counseling, couples and marriage counseling, counseling for children and adolescents, counseling for depression & anxiety, anger management, grief and trauma counseling, Rochester, Michigan)