Health & wellness · Satisfaction survey

Counseling Practice Client Satisfaction Survey Template

Measure how clients feel about their counseling session and identify the changes that would matter most. Every block is editable, and the finished form uses ResponseMint's focused respondent experience.

7 pages7 answer fields3 min typical completionFree to customize

No card required. Every block stays editable.

The form itself

Blocks included

These are the exact starting questions and content blocks that will appear in your ResponseMint workspace.

01
Dropdown
Which service or experience are you rating?
- Individual counseling
- Couples counseling
- Teen support
- Remote counseling
Required
02
Rating
How satisfied were you with your overall counseling session?
Required
03
Opinion scale
How likely are you to recommend this counseling practice?
Required
04
Multiple choice
Which part had the biggest effect on your rating?
- Psychological safety
- Provider fit
- Listening
- Next-step clarity
Required
05
Long answer
What worked especially well?
06
Long answer
What is the one thing we should improve?
07
Yes or no
May the counseling practice contact you about your response?

Make it yours

Counseling Practice Client Satisfaction Survey Template

Blocks included

Which service or experience are you rating?

How satisfied were you with your overall counseling session?

How likely are you to recommend this counseling practice?

Which part had the biggest effect on your rating?

What worked especially well?

What is the one thing we should improve?

May the counseling practice contact you about your response?

Start close. Edit freely. Publish confidently.

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