Jeff Peterson - Quality of Services

Quality of Services
This 10 question survey takes less than one minute to complete. Your feedback will help us improve future services - Thanks!
Please Select the Name of Your Clinician *
1) How did you find this therapist?

Psychology Today On-Line Searched On-Line using Search Engine (i.e. Google) Referral from Friend/Family Referral from Psychiatrist, Doctor, Pastor, Social Worker Other
2) How many times did you see this therapist?

More Than 10 Times 5 - 10 Times 2 - 4 Times 1 Time
3) How would you rate the quality of the service you received

Excellent Good Fair Neutral Poor
4) Did you receive the type of therapy services that you were expecting?

Yes Partially Not at All
5) Do you feel better today than before you entered therapy?

Much Better Somewhat Better About the Same Feel Worse than Before
6) Did the therapist seem to genuinely care about your concerns?

Yes Somewhat No Not Certain
7) Did the therapist seem competent as a mental health provider?

Yes Somewhat No
8) Was the therapist attentive and was note taking appropriate?

Attentive / Note Taking was Appropriate Attentive / But Note Taking was Distracting Somewhat Attentive / Somewhat Distracting Not Attentive / Distracting
9) Would you recommend this therapist to someone else?

Yes Maybe No
10) How would you rate the quality of the building's office and waiting room?

Professional, Comfortable, and Clean Good Enough For the Price OK, But Less Than Ideal Not that Great, Prefer a Better Facility
Any Feedback on Your Experience (Positive or Negative)?
Should be Empty:

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