Client Satisfaction Survey for Frank Morelli, LMHC

Hello! Thanks for picking me as your mental health provider. I really value your thoughts. Could you take a few minutes to fill out this Client Satisfaction Survey? Your feedback will help me make my services better. I want to make sure your needs are met properly.

Your participation is totally voluntary and confidential. To follow HIPAA rules, no patient identifiers will be used in this report. A summary of all the surveys will be posted on my website: changeyourthinking.com.

Instructions

Please rate your level of satisfaction for each statement below for the five choices provided for each question. Additionally, feel free to provide any comments or suggestions at the end of the survey. Parents may answer for their children.

1. How would you assess your overall mental and emotional well-being since starting your telehealth counseling sessions? *

2. To what extent do you feel your counseling sessions provide you with practical tools and strategies to manage your OCD, anxiety, or PTSD? *

4. Since starting telehealth counseling, how would you rate any improvement in your relationships (personal, professional, etc)? *

9. What suggestions would you like to provide Frank for making your counseling experience more meaningful? Please be as detailed as you wish.

10. Anything else you'd like to share about your experience with Frank? Please be as detailed as you wish.

First Name

Last Name

Email *

Phone *

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