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Survey
What is your age?
18-24
25-34
35-44
45-54
55-64
65+
Did you visit our website prior to your first visit?
Yes
No
If so, was it helpful to you in any way?
Extremely helpful
Very helpful
Somewhat helpful
Not so helpful
Not at all helpful
How easy was it to schedule your first appointment?
Very easy
Easy
Difficult
Very difficult
How was your experience at our check-in desk when you arrived?
Far above average
Above average
Average
Below average
Far below average
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Did you feel prepared for your first appointment with your assigned counselor?
Yes
No
Was your clinician's office a comfortable, relaxing environment?
Yes
No
Did you feel heard and supported during your first session?
Yes
No
Did you feel like your assigned clinician will be a good fit to accomplish your therapy goals?
Yes
No
If not, would you be comfortable asking for a new clinician?
Yes
No
How likely is it that you would recommend Pastoral Institute to a friend or family member?
1
2
3
4
5
6
7
8
9
10
Would you like to share anything else?
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