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1186 Hwy 45 Bypass, Suite D, Jackson TN 38301
731-215-0502
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1186 Hwy 45 Bypass, Suite D, Jackson TN 38301
731-215-0502
Text Us
Email Us

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Counselor Rating Form

This form is sent only to the President of LifeWorks Resources LLC.

Please rate the counselor on the following characteristics. For each characteristic there is a seven-point scale that ranges from “not very” to “very.” Please click the number at the point on the scale that best represents how you view the counselor:

Adam Carlucci, MA
Angie Scallion, LPC-MHSP (Temp)
Rebecca Gregory, LPC-MHSP
Jim Dachs, LPC-MHSP
Josh Krebs, LPC
Stacey Groves, PA
Dr. Mark Baldwin, LPC-MHSP

Which therapist did you see?*

Not Very

FRIENDLY*

1

2

3

4

5

6

7

Very

Not Very

EXPERIENCED*

1

2

3

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5

6

7

Very

Not Very

HONEST*

1

2

3

4

5

6

7

Very

Not Very

LIKEABLE*

1

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3

4

5

6

7

Very

Not Very

EXPERT*

1

2

3

4

5

6

7

Very

Not Very

RELIABLE*

1

2

3

4

5

6

7

Very

Not Very

SOCIABLE*

1

2

3

4

5

6

7

Very

Not Very

PREPARED*

1

2

3

4

5

6

7

Very

Not Very

SINCERE*

1

2

3

4

5

6

7

Very

Not Very

WARM*

1

2

3

4

5

6

7

Very

Not Very

SKILLFUL*

1

2

3

4

5

6

7

Very

Not Very

TRUSTWORTHY*

1

2

3

4

5

6

7

Very

Comments?

Name (OPTIONAL)

Would you like us to contact you about this review? (OPTIONAL)

Yes

No

Email

Phone

LifeWorks Resources – Counseling Jackson TN

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LifeWorks Resources, LLC

Mark Baldwin, EdD, LPC-MHSP
President
1186 Hwy 45 Bypass
Suite D
Jackson TN 38301
731-215-0502
lifeworks@lifeworksresources.com

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