How would you rate the quality of our services?
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Poor
Fair
Good
Excellent
The psychological services I received helped me stay in school and work toward my goals.
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No, not at all.
No, not very much.
Yes, I think so.
Yes, definitely.
Has the therapy you received helped you deal more effectively with your problems?
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No, it seemed to make things worse.
No, it really didn't help.
Yes, it helped somewhat.
Yes, it has helped a great deal.
If you were to seek help again, would you return for services?
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No, definitely not.
No, I don't think so.
Yes, I think so.
Yes, definitely.
If a friend needed similar help, would you recommend our services to him or her?
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No, definitely not.
No, I don't think so.
Yes, I think so.
Yes, definitely.
Did your therapist suggest you read any pamphlets, books, phone app, or handouts to help you solve your problems?
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No, I wasn't given anything, but would have liked to.
Yes, but I didn't read them.
Yes, and I read them.
After you made contact with our office, how soon were you seen?
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I had to wait more than 2 weeks.
Between 6 and 10 school days.
Between 3 and 5 school days.
Within 2 school days.
If you decided not to return to therapy, it was because...
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Meeting with your therapist helped solve your problems.
There was not enough time to work therapy into my schedule.
You didn't think there was a connection between your therapist and you.
I did not want peers and/or family know I was going to therapy.
Our Walk-in times are Monday, Tuesday, Thursday, and Friday from 11:00-12:30 and Wednesday from 10:00-11:30. Did you utilize our walk-in sessions?
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Yes
No
Approximately how many visits did you have, including walk-ins?
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1–3
4–6
More than 6
If you were only seen for one visit, was it because...
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This question does not apply to me.
The problem was resolved after one session.
You dropped out of school.
You weren't helped.
You felt that the psychological staff person couldn't help you with your problem.
You were referred to an outside counselor or agency.
Additional Comments
Comments
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