Appointments - Westminster Counseling Center: Dedicated to transforming mind and spirit

Westminster Counseling Center: Dedicated to transforming mind and spirit

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Client Satisfaction Survey

You are invited to take a short survey below about your experience at Westminster Counseling Center

Not sure who is right for you? Complete the form below and our Clinical Director will contact you:

Counselor's Name *

Margaret McCray Laurel Severns-Guntzel Sherri Dunham Peter Bruhn Susan Thornton

Choose the location(s) you see a therapist at. *

Westminster Presbyterian Church (Downtown Location) Bethlehem Lutheran Church Grace Trinity Church (Uptown Location) Oak Grove Presbyterian Church (Bloomington Location)

What kind of counseling are you receiving or did you receive? (If you were in a couple or family counseling please encourage your partner or family members to fill out surveys, also.) *

Individual Couple Family

If you are currently in counseling, how many sessions have you attended? *

1 2-5 6-9 10-19 20 or more

If you have terminated counseling, how many sessions did you attend? *

1 2-5 6-9 10-19 20 or more

How soon after your initial request were you able to see a counselor? *

Immediately Within a week One or two weeks More than two weeks

If there was a delay to see a counselor, which of the following accounted for your wait for service? *

My/our schedule was too busy Counselors schedules were too busy I/we did not need to see anyone immediately Other

How would you evaluate your need for counseling services when you first came in? *

Overwhelming Serious Not too serious Did not think a problem existed

Choose Any *

Option 1 Option 2 Option 3

* Indicates required field

Phone Number *

Email *

Best Time To Reach Me *

Is it ok to leave a voice mail? *

Do you have insurance? If so with whom? *

Preference of time of day/day of the week? *

Preference of location if any? Downtown, Uptown, Bloomington, or South Minneapolis? *

Here is a brief background of my situation: *

Submit

What to know before your first appointment

If you have insurance, please bring this information to your first visit.
To prepare for your first appointment, download these forms and fill them out.

Client Information Form
Bill of Rights
Guarantee of Account
HIPAA Form

Westminster Presbyterian Church - 1200 Marquette Ave. S. - Minneapolis, MN 55403
Phone - (612) 332-7743 - Fax - (612) 332 -7212

An affiliate of the Westminster Presbyterian Church

Home
About Us
About You
Our Services
Resources
News
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Appointments
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