Parent Satisfaction Survey

The Carruth Center strives to offer optimal services for every child. Our mission is to advance communication, independence and emotional well-being through individualized, collaborative and child-centered therapy practices. We value feedback from our client families. Please use the following scale to rate the statements below:

Strongly Agree - 5

Agree – 4

Neutral – 3

Disagree – 2

Strongly Disagree – 1

Survey

My child received a thorough evaluation from The Carruth Center and results were explained to me so I understand my child’s diagnosis and therapy plan.

Yes
No
N/A

Do you submit Carruth statements to your health insurance for reimbursement?

Yes
No

If yes, are you successful in obtaining reimbursement for services?

Yes
No
N/A

Please provide any additional feedback you think would help us.

Have something great to share with us about your therapist(s) or the clinic in general?

Contact Info

Name (optional)

Email Address (optional)

Phone Number (optional)

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