Medical Center Client Satisfaction Survey
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2CLIENT SATISFACTION SURVEY
Instructions: Please answer each question with a rating and a written comment if you would
like. At the conclusion of the survey, please provide us with the name of your therapist.
SA—Strongly Agree; A—Agree; U—Undecided; D—Disagree; SD—Strongly Disagree;
N/A—Not Applicable
1) The intake process was helpful in making the services of the center
available to me.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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5
2) The business office was effective.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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5
3) The location where I received my therapy was convenient.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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4) My therapist was effective in helping me reach my treatment goals.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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5) My therapist respectfully integrated my faith and religious beliefs into
the counseling process.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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6) My therapist began and ended the sessions on time.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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7) My therapist returned my calls promptly.
SA--------------A-----------------U---------------D-------------SD-------------N/A
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Parent category: Life