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What type of contact have you had with our program?
Client Being Seen by Clinician or Psychiatrist
Referring Agency
New Visitor to Our Website
With which site location are you most familiar?
Clarkston
Ann Arbor
Bingham Farms
Plymouth
When you called Heron Ridge Assocs, PLC, were we professional, courteous and responsive to your call?
Yes
No
Additional comments regarding professionalism, courtesy and response
Was the office setting pleasant and comfortable?
Yes
No
Were you pleased with the therapist's / psychiatrist's responsiveness to your needs?
Yes
No
Additional comments regarding responsiveness
Would you recommend our staff and program to others who may need our services?
Yes
No
Additional comments regarding recommendations
If you needed to voice a complaint or concern, did you feel we were concerned and responsive to your complaint?
Yes
No
Additional comments regarding complaints or concerns
Do you feel that working with us has made an improvement in your life?
Yes
No
Additional comments regarding life improvement
Do you have any suggestions you would like to make regarding how we might improve our programs?
Yes
No
If yes, please explain
May We Contact you?
Phone
Email
Phone
Email
Additional comments
