Tele-Mental Health Counseling for Individuals, Couples & Families

North Oakland Counseling LLC    (248) 841-4080

Client Feedback Form

This form Allows you an apportunity to provide feedback to your therapist. This will help improve the service offered to you and to others.

***You DO NOT need to identify yourself ****

PLEASE MARK THE BOX WHICH MOST CLOSELY CORRESPONDS TO HOW YOU FEEL EACH STATEMENT:

My therapist is:
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THANK YOU !

(Individual counseling, family counseling, couples and marriage counseling, counseling for children and adolescents, counseling for depression & anxiety, anger management, grief and trauma counseling, Rochester, Michigan)