Tell Us About
Your Experience

Your feedback helps DMC improve its services and support the Deaf community more effectively.

How feedback helps:

Improve our servicesYour experience shapes how we grow
All feedback is confidentialYour privacy is protected
Your choiceChoose how you would like DMC to use your feedback.
ASL option availableShare feedback in ASL by Zoom or Videophone (VP)

Share Your Feedback

All feedback is confidential. You may share as much or as little as you'd like.

How would you like to provide your feedback? *

Written feedback through this form Share feedback in ASL by Zoom or Videophone (VP) with Makoto Ikegami (DMC Founder) Other (please specify)

What is your feedback about? *

Therapist Communication Scheduling Billing Accessibility Website Other (please specify)

Please share your feedback *

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Please keep your feedback to 250 words or less.

What would you like DMC to do with your feedback? *

No follow-up needed. I would like to discuss this with my therapist. I would like Makoto Ikegami (DMC Founder) to contact me. I would like Makoto Ikegami (DMC Founder) to discuss this with my therapist without using my name. Other (please specify)

May DMC use your feedback to help improve services without sharing your name? *

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Confidentiality Notice: All feedback is confidential. Name and email are optional.

Thank you for your feedback. We appreciate you taking the time to share your experience with DMC. A member of our team will contact you if you requested a follow-up.

Something went wrong sending your feedback. Please email info@deafmulticulturalcounseling.com or text (404) 548-8794.

DMCDeaf Multicultural Counseling

Deaf-centered teletherapy delivered in ASL and accessible communication.

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Contact info@deafmulticulturalcounseling.com VP/VRS: (470) 763-5282 Text: (404) 548-8794

Need support now? Call or text 988, or use videophone (VP) or VRS.

Tell Us AboutYour Experience

How feedback helps:

Share Your Feedback

Tell Us About
Your Experience