Patient Satisfaction Survey

Your voice matters to us. We value your feedback to ensure we deliver the highest quality care at Smart Counseling and Mental Health Center.

This comprehensive survey is designed to capture your experience with our services. Your honest insights are instrumental in helping us improve and better support your wellness journey.

This survey is voluntary and can be completed after each session. We appreciate your time and valuable input.

Patient Satisfaction Survey Form

Date of your last session (optional)

YYYY

Name (optional)

First Name

Last Name

Therapist Name (optional)

First Name

Last Name

Overall, how would you rate the quality of your session? (optional)

How well did your therapist/counselor understand your needs? (optional)

How comfortable did you feel sharing your thoughts and feelings with your therapist/counselor? (optional)

How satisfied are you with the coping strategies and solutions provided during your session? (optional)

To what extent has the session contributed to your understanding of the issues you're facing? (optional)

How likely are you to apply the skills or strategies discussed in your session? (optional)

How would you rate the ease of scheduling your appointment? (optional)

How satisfied are you with the accessibility of our services (location, hours, remote options)?

Considering your complete experience with our center, how likely are you to recommend our services to people you know? (optional)

What did you like most about your session?

What aspects of the service do you feel could be improved?

Any additional comments or suggestions? Should you wish to switch your counselor, kindly reach out to us either by emailing info@smartcounselingca.com or by calling (951) 816-1778. (optional)