New Client Feedback Form Name * First Name Last Name Email * Overall, how would you rate your experience of your first session at CFE? * ★ ★★ ★★★ ★★★★ ★★★★★ Do you agree or disagree with the following: * The response to my call or email was prompt: Strongly Disagree Disagree Neutral Agree Strongly Agree Scheduling an initial appointment was simple + easy: Strongly Disagree Disagree Neutral Agree Strongly Agree The waiting room experience was pleasant: Strongly Disagree Disagree Neutral Agree Strongly Agree My therapist began and ended our session on time: * Select one Yes No How was the experience with your therapist? * My therapist was a good listener Strongly Disagree Disagree Neutral Agree Strongly Agree I felt respected and not judged by my therapist: Strongly Disagree Disagree Neutral Agree Strongly Agree They helped me explore my options and solutions: Strongly Disagree Disagree Neutral Agree Strongly Agree I'm likely to... * Return for a second appointment: Strongly Disagree Disagree Neutral Agree Strongly Agree Recommend my therapist to others: Strongly Disagree Disagree Neutral Agree Strongly Agree Additional comments or suggestions: Thank you!
