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Practice Feedback Form

Whether you are new to The FL Wolters Group, PLLC or have been with us for some time, we encourage you to take a few minutes to share your experiences, questions, suggestions, and concerns through this feedback form. Your input will allow us to better understand your needs and improve our services!


This survey is completely anonymous and you do not need to share your name unless you choose to. Please do not provide any other personal health information through this form.


If you would like a member of our staff to follow up with you about anything expressed through this form, please contact Jawana Gault via email at office@flwoltersgroup.com.


The FL Wolters Group, PLLC provides a safe, nurturing environment that benefits my personal growth.
Strongly Agree
Partially Agree
Neutral
Partially Disagree
Strongly Disagree
I have valued my interactions with the administrative staff.
Strongly Agree
Partially Agree
Neutral
Partially Disagree
Strongly Disagree
Booking my first session with the office staff was a positive experience.
Strongly Agree
Partially Agree
Neutral
Partially Disagree
Strongly Disagree
The billing process has been easy to understand and financial problems have been easily remedied.
Strongly Agree
Partially Agree
Neutral
Partially Disagree
Strongly Disagree
I would recommend The FL Wolters Group, PLLC to others seeking mental health services.
Strongly Agree
Partially Agree
Neutral
Partially Disagree
Strongly Disagree
Do you consent to your responses in this section being used publicly for marketing purposes?
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