This survey is voluntary and all questions are optional. Feel free to skip questions and omit any information you do not want to disclose. The exclusive purpose of this survey is to provide our PCS Executive Board with feedback so we can improve our services and our clients’ experience. All information gathered from this survey falls under our standard confidentiality practices and will be kept private.

Thank you for your participation!

PCS General Information:
Your contact information (OPTIONAL):
Your feedback:
How likely is it that you would recommend the therapist or staff member named above to a friend or colleague?
How long have you been a client of PCS?
How well do our services meet your needs?
How likely is it that you would recommend PCS to a friend or colleague?

How would you rate our staff's friendliness, courtesy and respect?

How would you rate your therapist's ability and willingness to understand and listen to your concerns?

If we have further questions, may we contact you as a result of this survey?