Survey Form – Internal Use Only

Dear Parent(s): Our Practice specializes in providing Psychological Assessment and Therapy services to children, adolescents and families. Our staff and Psychologists work hard to provide caring, effective, and efficient care and are proud of the services we provide to make your family as healthy as possible.

Survey Form – Internal Use Only

Dear Parent(s): Our Practice specializes in providing Psychological Assessment and Therapy services to children, adolescents and families. Our staff and Psychologists work hard to provide caring, effective, and efficient care and are proud of the services we provide to make your family as healthy as possible.

Our team meets regularly one day per month to review our policies, procedures, and clinical tools to ensure we are using best practice and most current models of care. We strive every day to improve and provide even better services. As part of what will be an annual survey, we would like your input and ask you to complete the following questionnaire on how we are meeting your needs and can better help you or future clients.

Please leave blank any questions that do not pertain to your experience with Dr. Kiran Pure and Associates. We ask that you provide candid and honest responses regarding any Psychological service(s) you have received and any of the process (intake, billing, etc) that can be improved. Your feedback goes directly to Dr. Kiran Pure in confidence. You do not need to provide any identifying information. For purposes of this survey, five is the highest rating and one the lowest. We also understand if you do not have time nor wish to complete the survey.

Thank you kindly for taking the time to provide your input.

Our Therapy Services

We have a diverse team with a wide range of specialties. To learn more visit the link below.

Therapy Services

Have Questions?

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