Client Feedback
Thank you for taking the time to provide feedback on your experience at our psychiatric mental health practice. Your input is valuable and helps us continually improve our services. We’d love to hear about our clients' experiences. Feel free to share suggestions, ideas, or anything that comes to mind.
General Information
First name
Last name
Email
Appointment Experience
How did you first hear about our practice?
Were you able to schedule an appointment in a timely manner?
Yes
No
N/A
How would you rate the ease of check-in and registration process?
Excellent
Good
Fair
Poor
Did you experience any significant wait times during your appointment?
Yes
No
Provider Interaction
Who was the provider you sought care from?
Dr. Bednarz
Ashley Martin PMHNP
Madeline Bickhaus PMHNP
Ashley Lippens LCSW
Kristen Draughan LCSW
Christie Reynolds LCPC
Lynn Willard LCSW
How would you rate the communication and listening skills of your provider?
Excellent
Good
Fair
Poor
Did the provider address your concerns and questions adequately?
Yes
No
If no, please provide details:
200
Did the provider explain your treatment plan and options clearly?
Yes
No
If no, please provide details:
Treatment and Care
How would you rate our services?
Excellent
Very good
Good
Fair
Poor
Describe your experience
Share any suggestions or ideas for improvement
Send Feedback
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