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I want your feedback!

In an effort to continually improve both the running of my practice and your clinical experience, I am requesting that you please provide me with some important feedback, which you may keep anonymous. Anything you write will be kept confidential and will not be shared or published in any way.  



Name (optional)

Email Address (Optional)

Scheduling/Appointment flexibility or availability

Session Environment (comfort, professionalism, etc)

Therapist's communication and responsiveness to your needs

Therapist's knowledge and experience

Any other feedback you think might be helpful?

How do you like the web page? (e.g. appearance, ease of use, information provided, etc)

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