Client Feedback Survey
Pro Bono Counseling greatly appreciates you as a client. Please take a moment to provide feedback on your experience with our organization.
Please do not share private health or identifying information through this form.
If you or someone you know need immediate help, please call or text 9-8-8 or chat at
988Lifeline.org
to reach the National Suicide Prevention Lifeline.
If you would like to discuss a concern with a staff member, please contact Sherri Bloom, Clinical Director, 410-816-5056.
Please rate your satisfaction with the following:
How likely are you to recommend this program to a friend or family member? (1 = least likely, 5 = most likely)
1
2
3
4
5
So far, Pro Bono Counseling has met my needs. (1 = strongly disagree, 5 = strongly agree)
1
2
3
4
5
I am treated with respect when interacting with Pro Bono Counseling staff members. (1 = strongly disagree, 5 = strongly agree)
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2
3
4
5
What went well during your interactions with Pro Bono Counseling?
What could we do better?
Is there anything else you would like to share about your experience with Pro Bono Counseling so far?
Please provide the following (OPTIONAL):
What is your age? (Optional)
Please share your race and/or ethnicity. (Optional)
What gender do you identify as? (Optional)
Thank you for taking the time to complete this survey. Your answers are important to us and will be kept confidential.
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