top of page

We want your feedback 

Please take some time to evaluate our services using the feedback form below. Please note that your contact information is not required, but you can include it if you would like us to know who you are. 

My treatment goals were met

Tell us about these areas of your life compared to before you came to Refine Counseling. 

Living situation
Substance Use
Work/School
Legal system

Tell us about your experience as it relates to Refine Counseling.

Written assignments
Group feedback
Experience

Thanks for submitting!

By submitting this form, you agree to our Privacy Policy

bottom of page