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All results and information gathered from the client survey will remain anonymous and will not be shared with the therapist; however, the admin team may access the information if needed to coordinate additional services or support.

How long have you been attending sessions with your current therapist?
Less than 1 month
1-3 months
4-6 months
7-12 months
More than 1 year
Who is your current therapist or provider? (If you are currently receiving services from multiple providers, please fill out the form for one provider at a time. If you would like to give feedback for multiple providers, please submit the form again).
Quinton Neighbors, MS, MA, LPC-S
Lydia Neighbors, MA, LPC
Tara Willson, MA, LPC
Phillip Benavides, MS, NCC, C-DBT, LPC-S
Zaina Thakur, MS, LCSW
Anna Milius, MS, NCC, LPC
Raine Hoggard, MS, LMSW
Delia Isaac, MA, LMFT-A
Bayli Kemp, MS, LPC-A
Alison Harriman, MS, LMSW
Nikki Cook, MS, LPC
Josh Yarbrough, MS, LPC
Kris Brown, MFT Student Intern
Lauren Hawkins, MA, NCC, LPC
Naomi Nyabuto, PMHNP
Other
How effective do you feel your treatment has been in addressing your personal challenges?
1- Not effective (No noticeable improvement)
2- Slightly effective (Minimal progress)
3- Moderately effective (Some meaningful progress)
4- Effective (Clear progress made)
5- Very effective (Significant improvement)
How would you rate your feeling of being heard, understood, and an active participant in treatment?
1- Not at All (Did not feel heard, understood, or involved in the process)
2- Rarely (Occasionally felt heard or included, but mostly disconnected)
3- Somewhat (Felt heard and involved at times; could be more consistent)
4- Mostly (Generally felt understood and included in decisions and treatment)
5- Completely (Consistently felt heard, validated, and actively involved)
How would you rate your understanding and explanation of the diagnosis or description of your symptoms via therapist or provider?
1- Not at all (No clear understanding of diagnosis or symptoms was provided)
2- Minimal (Some explanation given, but still confused or unsure)
3- Basic understanding (Received a general idea, but with remaining questions)
4- Good understanding (Clear explanation provided and mostly understood)
5-Excellent understanding (Thorough, clear explanation; fully understand diagnosis and symptoms)
How would you rate your understanding of the theories and techniques used by the therapist or provider to meet your goals and needs?
1- Not at all (No explanation or understanding of therapy approach)
2- Minimal (Brief or vague awareness, not well understood)
3- Somewhat (Some techniques or theories explained, partial understanding)
4- Mostly (Good grasp of how and why certain methods are being used)
5- Fully (Clear and confident understanding of therapy techniques and their purpose)
Are you interested in Medication Management Services with a Psychiatric Mental Health Nurse Practitioner?
Yes, I would like more information.
No, I already receive medication management from another provider.
No, I am not needing medication management at this time.
Are you interested in signing up for a support group?
Yes, I am interested in the Trauma Support and Empowerment Group for clients 18+ years old only (Starting in August, 2025- in person in Allen, TX, with virtual options).
No, I am not interested in joining a support group.
What is your age range?
Under 18 years old
18-24
25-34
35-44
45-54
55-64
65 or older
I am a parent/caregiver filling out this form on behalf of a client under 18 years old
I am a parent/caregiver filling out this form on behalf of a client over 18 years old
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