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* 1. Please select your provider:

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* 2. I was treated professionally and respectfully by PHC behavioral health staff.

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* 3. I felt safe to talk about my issues in counseling.

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* 4. Counseling has helped me grow in my understanding of myself, my behavior, and my emotions.

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* 5. My concerns that brought me to counseling have been addressed and/or improved.

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* 6. If you would like to discuss your recent visit with a PHC team member, please leave your name and number. Thank you!

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