Online vs. In-Person Services Survey

Reflective Counseling Invites You to Submit Feedback

This form relates to service delivery methods – either in-person or online. You may complete this form whenever you’d like.

This feedback form will help your therapist develop and improve the services offered to you and others. We ask that you leave your name so that we can follow up with you directly.

For the following questions, Yes (I would) or No (I wouldn’t) answers are sufficient. Feel free to respond with more details if you wish.