Therapy Feedback Form
Thank you for sharing useful feedback regarding your experience with Dr. Jamie Long. If you choose to write a testimonial, no identifying information or names will be used. Thank you!
  • Overall, how would you rate your experience?
  • Strongly Disagree Disagree Agree Strongly Agree
    Dr. Jamie helped me feel comfortable and at ease.
    I felt that I was treated with respect.
    Dr. Jamie was qualified to treat me.
    Dr. Jamie's services were helpful to me.
    I would recommend Dr. Jamie to a friend/family member.
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