Dear Client,

Thank you for participating in our outcome research study. With your candid input we hope to better evaluate the quality and value of our treatment approaches. We are dedicated to continue improving the services we offer, including the long-term benefits after treatment has ended.

This same questionnaire is designed to be completed at intake, closing, and again six months after treatment ends.Your participation and confidentiality will be protected. Please feel free to contact our Outcome Research Team at any time, if you have concerns or questions about the questionnaire or our outcome research.

Thank you again for your participation. We are excited by the opportunity to broaden our understanding of what we do and improve our services to you.


Most Sincerely,

Lori Kanat Edelson, LMSW, LMFT
Clinic Director, Owner

Outcome Research Team:

Dominic Moceri, PhD 
dmoceri@birminghammaple.com

By clicking "Next" below you are consenting to participate in this study.

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