Empathi Counseling
Feedback Survey
Your name and any other identifying information will not be shared with your therapist.
Your Name
Your Therapist
Select Therapist
Figs O'Sullivan
Teale Taxis
Ford Peck
Karen Gordon
Iliana Paola Domínguez
Raphael Barker
Wendy Parker
Alissa BenPorat
Nicole Bermensol
Sherwood Wang
Sarah Mackota
Lily Petroff
Why did you discontinue sessions with your therapist?
Select Reason
I completed my therapy goals
I found another therapist who was a better fit for my needs
Financial reasons
I moved
My partner and I ended our relationship
My partner wanted to end therapy
Other
Please rate your sessions with your therapist.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My therapist understood my situation and challenges
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My therapist provided effective guidance
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My therapist exhibited professionalism
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My therapist began and ended sessions on time
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would recommend my therapist to someone I know
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
In your own words, please describe your experience with your therapist.*
* We may share this review in educational and promotional materials, attributed to your first name only.
To be anonymous, please check here:
Please rate your experience with Empathi's administrative team.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Communication with the admin team was courteous and warm.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The admin team responded promptly to my emails and calls.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I received complete and accurate answers to all of my questions.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Empathi's administrative processes (intake, superbills, the client portal, etc.) were streamlined and professional
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Overall, how satisfied are you with your experience at Empathi?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Is there any other feedback you’d like to share?
Your submission has been received.
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