Client Satisfaction Survey

THANK YOU FOR COMING TO WALK-IN AND COMPLETING THIS SURVEY!

This survey is completely anonymous. It is 12 questions and takes about 2 minutes. Please complete this survey only once.

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* 1. Which best describes your visit to Walk-In? Choose one.

Un-scheduled Zoom visit to a virtual clinic

Scheduled appointment with a counselor

Unscheduled in-person visit to the Minneapolis clinic

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* 2. Did you connect by. . .

Phone

Computer login

In-person

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* 3. How did you find out about our services? Check all that apply.

Someone who knew about or used Walk-In themselves

Internet search

Professional in another agency or private practice

Saw it on Facebook or other social media (which?)

Saw an ad (newspaper, newsletter, etc.)

Other (tell us how)

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* 4. How important was each of the following in your decision to come to Walk-In Counseling Center?

Free/no cost/no insurance

Ability to remain Anonymous

No appointment necessary

Convenient clinic times

Good reputation

Counselors are mental health professionals

Other (please specify)

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* 5. How satisfied are you with the services you received?

Very satisfied

Mostly satisfied

Don't know

Somewhat dissatisfied

Very dissatisfied

Other (we'd love your feedback)

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* 6. As a result of coming I feel more hopeful that I can handle things.

Yes, absolutely

Yes, I think so

Don't know

No, not really

No, I feel much worse

Other (please specify)

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* 7. If a friend or loved one were in need, I would recommend this service.

Yes, absolutely

Probably

Don't know

No, definitely not

Please tell us more if appropriate:

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* 8. What is your approximate household income?

$50,000 and higher

$30,000 - $50,000

Less than $30,000

Have no idea

Prefer not to say

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* 9. How do you describe your race/ethnicity? (Check all that apply)

White/Caucasian

Black/African American

African Immigrant

Hispanic or Latinx

Asian/Asian American

American Indian

Mixed Race

Pacific Islander

Other

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* 10. How many people live in your household including yourself?

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* 11. Did you come by?

Car

Public transit (bus, train)

Walk

Zoom/Phone

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* 1. Which best describes your visit to Walk-In? Choose one.

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* 2. Did you connect by. . .

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* 3. How did you find out about our services? Check all that apply.

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* 4. How important was each of the following in your decision to come to Walk-In Counseling Center?

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* 5. How satisfied are you with the services you received?

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* 6. As a result of coming I feel more hopeful that I can handle things.

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* 7. If a friend or loved one were in need, I would recommend this service.

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* 8. What is your approximate household income?

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* 9. How do you describe your race/ethnicity? (Check all that apply)

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* 10. How many people live in your household including yourself?

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* 11. Did you come by?

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* 12. Any additional comments or feedback you'd like to give?