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Give us your feedback

We are glad that you reached out to Aspire Neuropsychological Services, Inc. Our goal is to ensure that our clients are matched with a clinician who is the best fit for them and we want you have a positive experience overall. Below are a few questions designed to provide your feedback and to help us make any improvements. If you have the time, we would love to hear from you!

– Any feedback regarding clinicians will be reported anonymously unless otherwise requested.
– Questions are adapted from Scott Miller’s Session Rating Scale.

survey

  • This helps us provide feedback and support to Aspire's clinicians.

  • Please rate your sessions with your clinician

  • On a scale of 1-10, with 10 being the best
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  • On a scale of 1-10, with 10 being the best
    12345678910
  • On a scale of 1-10, with 10 being the best
    12345678910
  • On a scale of 1-10, with 10 being the best
    12345678910
  • How are you feeling? Use a scale of 1-10, with 10 being the best.

    How well have been doing in the following areas of your life? Please use a scale of 1-10, with 10 being the best. If you are filling out this form for another person, please fill out according to how you think they are doing.
  • Scale of 1-10, with 10 being the best
    12345678910
  • Scale of 1-10, with 10 being the best
    12345678910
  • Scale of 1-10, with 10 being the best
    12345678910
  • Scale of 1-10, with 10 being the best
    12345678910
  • Very LikelyLikelyNot Likely
  • Your experience with administrative staff

  • Very easyEasyAverageNot easyDifficult
  • Very goodGoodAverageNot goodBad
  • Thank You

    We sincerely appreciate your feedback and take every response seriously and use the information to improve clients' experience at Aspire Neuropsychological Services, Inc.
    Thank you again!

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