The Clear Health Psychology Client Feedback Survey

Clear Health Psychology is committed to staying true to our values and providing a quality and caring service.

Clear Health Psychology (CHP) welcomes feedback to enable us to better meet your expectations and needs.

The following questions are asking you about your experience with the Clear Health Psychology team. Participation in this survey is voluntary. Your answers will be completely confidential (unless you choose to provide your details but no information that may idenitify you will be shared or published).

The survey should take about 5 minutes to complete and the results will be utilised as a quality service planning activity for CHP.

Thank you in advance for taking the time to provide feedback.

If you have any concerns about this online survey, please contact Dr Maxine Hawkins via email maxine@clearhealthpsychology.com

Your Feedback

1. Describe your relationship with Clear Health Psychology (CHP)?

I am a current client of CHPI am a previous client of CHPI am a carer of someone who attends CHPI have made a referral to CHP

4. I feel that CHP recognised and respected my cultural, identity, beliefs and choices.

Strongly AgreeAgree Somewhat DisagreeDisagree

10. I can provide feedback or make a complaint at CHP without it affecting the way that I am treated?

14. I feel that my goals have been understood and supported by the psychologist *

Strongly agreeAgreeUnsureDisagree

16. Is there anything else you would like us to know regarding your overall experience of Clear Health Psychology?

17. If there is one thing that could be changed to improve your experience at CHP what would it be?

19. What were the most helpful aspects of working with your psychologist?

20. What were the least helpful aspects of working with your psychologist?

21. If you are no longer receiving treatment, what were the main reasons for ceasing therapy?

22. Would you like to further elaborate?

24. Please further explain

25. Would you recommend Clear Health Psychology to a friend or colleague? *

YesUnsureNo

First Name

Last Name

Phone number

Date of Birth

Email

Thank you for providing your feedback.

If you would like to engage with CHP we would be delighted to hear from you. Our intakes team will assist in finding a Psychologist that is best matched to help with your mental health concerns. Clear Health Psychology has grown over the years so, we can provide clients with immediate appointment availability at many convenient practice locations in Perth.

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