Feedback

We Value Your

We appreciate the opportunity to have worked with you. Please know your answers to this survey are confidential and will not be shared with your therapist.

Your Name (Optional)

Therapist Name

To assist us with evaluating our therapists please provide the name of your therapist or feel free to decline.

Overall, how would you rate the experience of your therapy at Bright Care Christian Counseling? *

I felt like I was safe, heard, and respected. *

Disagree
Neutral
Agree
N/A

The therapist's approach was a good fit for me *

Disagree
Neutral
Agree
N/A

I feel like therapy helped me feel less depressed, less anxious, less confused, or less unhappy *

Disagree
Neutral
Agree
N/A

What would you like to have more of in therapy?

What would you like to have less of in therapy?

Something(s) I typically think about is/are

How satisfied are you with prompt response to your email/call *

Unsatisfied
Neutral
Satisfied
N/A

How satisfied are you with scheduling an appointment *

Unsatisfied
Neutral
Satisfied
N/A

How likely are you to return for another appointment *

Unlikely
Neutral
Likely
N/A

How likely are you to recommend your therapist to others *

Unlikely
Neutral
Likely
N/A

How likely are you to recommend Bright Care to others *

Unlikely
Neutral
Likely
N/A

Additional Comments, Positive Feedback or Concerns, Questions, or Suggestions

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