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NovoPsych

Client Satisfaction Survey (CSS)

Instructions:
We value your feedback. Please let us know how your experience has been by answering
the following questions.

Strongly Strongly
Agree Neutral Disagree
Agree Disagree

The practitioner was prepared for


1
my visits
5 4 3 2 1

The practitioner understood my


2
concerns
5 4 3 2 1
The practitioner gave me as much
3 information as I wanted about what I 5 4 3 2 1
could do to manage my condition
Therapy has helped me improve the
4
quality of my life
5 4 3 2 1

I was able to schedule appointments


5
at times that suited me
5 4 3 2 1
The information I received (materials,
6 what staff/practitioners told me, etc.) was 5 4 3 2 1
consistent
The reception staff were friendly and
7
helpful (skip if not applicable)
5 4 3 2 1

All things considered, I am satisfied


8
with the service I received
5 4 3 2 1

9 Other areas of strength

10 Suggestions for improvements

Developer Reference:
NovoPsych

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