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Search for:
Home
About
Our Philosophy
Locations
FAQ
What We Offer
Therapy and Counseling
Life and Career Coaching
Fitness Coaching
Nutrition and Wellness Coaching
Yoga, Meditation, and Mindfulness
Groups
Virtual Therapy and Telehealth
Wellness Professionals
Revive Online
Blog
Newsletter
Shop
FREE Consultation
Home
About
Our Philosophy
Locations
FAQ
What We Offer
Therapy and Counseling
Life and Career Coaching
Fitness Coaching
Nutrition and Wellness Coaching
Yoga, Meditation, and Mindfulness
Groups
Virtual Therapy and Telehealth
Wellness Professionals
Revive Online
Blog
Newsletter
Shop
FREE Consultation
Client Survey – Couples Group
Chris Obara
2023-03-11T20:39:30+00:00
Couples Group Survey
Couples Group Survey
COUPLE'S GROUP SURVEY
Rate your overall experience in this group
*
1
2
3
4
5
How relevant were the topics covered in the couples group?
*
Not Relevant
Somewhat Relevant
Very Relevant
Not Sure
Were your expectations of the group met?
*
Did Not Meet Expectations
Met Expectations
Exceeded Expectations
How prepared do you feel to effectively communicate with and resolve conflict with your partner?
*
Not Prepared
Somewhat Prepared
Prepared
Very Prepared
How comfortable did you feel to share openly in the group?
*
Not Comfortable
Somewhat Comfortable
Comfortable
Very Comfortable
How effectively did the facilitators communicate concepts and moderate discussion amongst participants?
*
Not Effectively
Somewhat Effectively
Effectively
Very Effectively
How likely are you to recommend this couples group to a friend?
*
Not Likely
Somewhat Likely
Likely
Very Likely
How interested are you in participating in future couples groups offered by Revive Center for Wellness?
*
Not Interested
Somewhat Interested
Interested
Very Interested
Please provide any additional comments:
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