okareka  
www.psychologist.net.nz  
line decor
  
line decor

 
 
 

psychology suite online feedback

all feedback comes to us through a central email address and is processed by one of the psychology consultants.

It is not identifiable by psychologist or client unless you specify such details in your feedback.


 

 

psychology suite online feedback form

Reason for Referral:

Select: 

Did Psychologist help you with that?
Yes  No

What was helpful?

Age:

Funding Source:

 
I paid      
specify other organisation:   
          

What was not helpful

or

How could we improve our service?

Thank you so much for taking the time to complete this form.

Your feedback is valuable to us.