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We want to hear

FROM YOU

Hey JAM Fam! It is important that your opinions and needs are taken into consideration during your therapeutic journey. Please fill out this brief survey, so that I can be made aware of what is working well for you, and what I can do to improve your experience. Thank you for your time.

Which therapy are you seen for?
Individual
Couple

Systems Related Client Satisfaction

These questions are to gain a better understanding of your views on the operations of the practice, such as communication, scheduling and billing. Please give your honest opinions.

I find it easy to communicate and schedule with my therapist
I find billing and payment to be a transparent and easy process.

Therapy Related Client Satisfaction

These questions are to gain a better understanding of your views on sessions and how our therapeutic relationship has been working for you. Most questions can be answered on a scale of 1-7. Please give your honest opinions.

Did you have specific concerns that led you to seek therapy at this time?
Yes, I had specific topics I wanted to work through in session.
No, I began sessions as a preventative or self care measure
I'm not sure.
When you think of the concerns that brought you to seek therapy, how far do you feel you've come in resolving these concerns?
1 - No Improvement
2 - Some Improvement
3 - Moderate Improvement
4 - Much Improvement
5 - Resolved
Not Applicable
Does the improvement that you’ve had so far match your expectations of our time together?
I feel supported and understood by my therapist.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
My therapist's approach and style are a good fit for me.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
I have gained some insights about myself that have helped me for the better.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
The skills I am learning in sessions are helping me to make positive changes in my life.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
My therapist and I have made clear goals for what I want to accomplish during my therapy process.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
I feel I am making progress towards accomplishing these goals.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
I feel like I am getting what I need from sessions.
1 - Strongly Disagree
2 - Disagree
3 - Somewhat Disagree
4 - Neutral
5 - Somewhat Agree
6 - Agree
7 - Strongly Agree
How would you like to continue with our sessions?

Would you like to stay in touch by subscribing to my newsletter where I share upcoming events and the Monthly Jam (journal prompts, affirmations & mindfulness challenges)?

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