PPC Professional Psychologists & Counsellors
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Overall Experience Satisfaction
I appreciate the opportunity to receive your feedback on the services PPC has provided to you.  If you prefer, your feedback will not be shared.  Thank you for the opportunity to serve you.

Dennis Coates, President
Therapist Seen
Client First Name (Optional)
Funding Source
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EFAP (if applicable)
Date of Experience (optional)
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Please grade all answers on a scale of 1 (poor) to 5 (exceptional).
Was the counsellor a good fit for your issue
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Satisfaction with overall experience
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3. Confidence in referring your therapist to others
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4. Confidence in referring PPC to others
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