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Session Feedback Form

Please take a few minutes to fill out this form regarding your last session. Your feedback will help increase the effectiveness of your counseling. Thank you!

Name *

First

Last

Date of Session *

Therapist *

Christina
Emmy
Eric
Jenya
Lindsey
Marcus
Megan
Naomi
Tara
Tsveta

The session was helpful today.

Selected Value: 0

1 = don't agree at all — 7 = strongly agree

I felt like I was being understood, and felt comfortable expressing myself.

Selected Value: 0

1 = don't agree at all — 7 = strongly agree

The therapist's approach is working for me.

Selected Value: 0

1 = don't agree at all — 7 = strongly agree

I felt like I came away with some new ways to think about my life.

Selected Value: 0

1 = don't agree at all — 7 = strongly agree

I felt like I learned some new ways to handle my problems.

Selected Value: 0

1 = don't agree at all — 7 = strongly agree

Was there anything in particular that you learned from this session?

Was there anything you wish you would have talked about more?

Is there something in particular you'd like to talk about in our next session?

Can you give any feedback that would make your sessions more effective:

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