Please take a few minutes to offer us feedback on your time at Cornerstone Counseling Foundation (CCF). For each item identified below, please select the number that best describes your experience. Use your tab key or cursor to move from one response to the next. Thank you!


NA: Not applicable    1: Very dissatisfied    2: Somewhat dissatisfied    3: Somewhat satisfied    4: Mostly satisfied    5: Very satisfied

Name of your counselor(s) at CCF:
Your name (optional):
Ease of making an appointment.NA 1 2 3 4 5
Ease of making donations. NA 1 2 3 4 5
My personal goals were addressed in therapy.NA 1 2 3 4 5
My counseling experience was helpful.NA 1 2 3 4 5
Overall experience at CCFNA 1 2 3 4 5
I will recommend CCF to others.Yes No

Yes No

Cornerstone Counseling Foundation's Commitment: Any materials used will remain anonymous. No names will be published