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Evaluation Form

Thank you in advance for sharing your experience. Your response helps us evaluate and make improvements to our services.

Please note, completing this survey does not indicate a termination of services should you need to return for counseling at a future time.

Kate Walpole -  Cross and Crown Counseling Clinical Supervisor

NCCA Board Certified Clinical Supervisor, Licensed Clinical Christian Counselor, Advance Certified Temperament Counselor

Counselor
Kate Walpole
Jennika Padilla
Barb Sandberg
Lisa Preston
Amanda Wise
On a scale from 1-5, 5 being the best, what would you rate your overall experience at Cross & Crown Counseling?
I felt listened to, heard and supported.
Stongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I felt I could express myself without judgement
Stongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
My counselor fostered a safe and trusting environment.
Stongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I was comfortable with my counselors approach.
Stongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
I felt challenged when appropriate.
Stongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
We worked on concerns that were most important to me.
Stongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
Would you recommend our services to others?
Yes
No
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