CLOSING SURVEY - AFTER COUNSELLING HAS TERMINATED

This survey is to complete at the end of counselling services when you have no further scheduled visits. It is intended to provide information about your overall experience with Bevill and Associates LLC. and the progress you made over time.
  • PART ONE: Your Perception of Overal Progress

  • PART TWO: Symptom Checklist Follow-up

    Please rate how much you have experienced each symptom over the past week. Note: the first six symptoms relate specifically to your relationship with your spouse or partner – if you are single, use the “0” rating.
  • PART THREE. Client Satisfaction Survey

    For items #31-40, please indicate how much you agree or disagree with each statement. These statements have to do with your experience at your counselling sessions. On this scale, 1=strongly disagree and 5=strongly agree.