Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.The person I talked to on the phone or in person was friendly and helpfulStrongly agreeAgreeNeutralDisagreeStrongly disagreeNot applicableGetting information and scheduling my counseling appointment was easyStrongly agreeAgreeNeutralDisagreeStrongly disagreeNot applicableThe person I talked with matched me a Counselor who was right for my needs and preferencesStrongly agreeAgreeNeutralDisagreeStrongly disagreeNot applicable understands long would The Counselor helping me understands my concernsStrongly agreeAgreeNeutralDisagreeStrongly disagreeNot applicableHow long have you received counseling services from IMPACT?Strongly agreeAgreeNeutralDisagreeStrongly disagreeNot applicableAll things considered, how would you rate your overall satisfaction with the service you receive at IMPACT?ExcellentGoodFairPoorWe value any suggestions or comments you would like to share. Please use this space to provide any feedback.Email *Submit
