Integrity Counseling Feedback Form Name*Please note that your name will NOT be published First Last Select your counselor*Liesl Geschke, LMFTDiana Hoang, Therapist InternRichard Golosinskiy, LMHCOlya Pavlishina, LMFTCindy Holt, LICSWHannah Grabhorn, LMHCAAngela Rosson, LMHCYour feedback*Would you like to publish your feedback anonymously?* Yes, I would like to publish my feedback with my name hidden. No. My feedback is for internal use only. *required