Feedback & Requests

Feedback & Important Requests

Counseling Session Feedback Form

If you would like to give feedback regarding today's counseling session. Please fill out the below form. Thank you for your feedback.

Do you feel your therapist is supportive? *

Do you feel like you connect with your therapist? *

Do you feel progress is being made in therapy? *

Is there anything you didn't like? *

What is it you enjoyed? *

Additional feedback about today's session. *

If you desire Zurita Christian Counseling Company to know who you are, please fill out the spaces below.
If you prefer to provide anonymous feedback, please do not include your name nor email address below.

Name *

First

Last

Email *

Submit

Important Contacts

To request your health records from Zurita Christian Counseling Company, please email your request.

To contact the Texas Behavioral Health Executive Council, which is found on their webpage.

To file a complaint, contact the Office of the Attorney General through the Consumer Protection webpage.

Contact Texas Behavioral Executive Council

Contact Office of Attorney General