Final Symptom Follow-up and Client Satisfaction Survey
Please use this final client satisfaction survey and feedback form to
give feedback about the counselling services you received at Cobb & Associates Inc.. Your responses will provide important information
about how services can be improved in the future. This form is meant to
be completed after you have concluded counselling services and have no
more scheduled visits.
If you prefer, you can complete this survey by
hardcopy (click here) and return the completed survey to me by email, mail or by confidential fax at (403) 255-8570.
As with all client information, your responses will be kept
strictly confidential. We will need some type of identifier that will help us match your responses with your case that we have on file. This could be your Case ID number (which you'll find on a recent invoice), or the date and time of your last session if you know it, or your last name and first initial, an email address, or some other identifier that we can use to match your responses. Please refer to the
for Cobb & Associates Inc. if you have any questions about privacy and your personal information.
It should take about 5 minutes to complete or 48 clicks of your mouse (more if you wish to add comments). You will need to finish
what you intend to submit in one sitting as you cannot save a partially
completed form and come back to it later to continue working on it. If you would like to retain a copy, please
print this page on your browser before submitting the survey.