Tell us what you think. We care about your opinion. Please mark your responses by marking the line corresponding to your answer. How satisfied were you with: 1. The help you received when you called the local or 888 number? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply 2. How easy it was to get the counseling services you needed? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply 3. Your therapist? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply 4. How the counseling services helped you resolve your problem? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply 5. How counseling services helped you be more effective in your personal life? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply 6. The overall services you received? Very Satisfied Satisfied Dissatisfied Very Dissatisfied Does Not Apply 7. Would you recommend FRGN to other friends or family? Yes No Name of therapist: Location of therapist: Comments: Your feedback is very important to us and greatly appreciated. Thank You.