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Session Feedback
It is an honor to work with you. I respect you and your time and I hope that this is conveyed in our work together. Complete this form to provide feedback from your recent session(s).
Open ended sections are optional.
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Initials
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Your answer
Professional Relationship
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I do not feel heard, understood or respected.
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I do feel heard, understood, and respected.
Professional Relationship
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When I share, I do not feel accepted and I felt judged.
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When I share, I do feel accepted and I have not felt judged.
Goals and Topics
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We do not work on or talk about what I want to work on and talk about.
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We do work on and talk about what I want to work on and talk about.
Approach or Method
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The counselor's approach is not a good fit for me.
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The counselor's approach is a good fit for me.
Use this section to elaborate on any of your responses from above.
Your answer
What has been successfully addressed in therapy thus far? What goals have been met?
Your answer
What has yet to be addressed in therapy? What goals do you want to meet?
Your answer
Have I displayed sensitivity to your background, culture and/or diversity?
Your answer
Based on your experience in our sessions, what has been helpful?
Your answer
Based on your experience in our sessions, how could I improve as your therapist?
Your answer
Is there anything additional you need to feel more supported during your counseling process?
Your answer
Based on your experience, does Therapy Appointment, Ivy Pay and other technical programs make your experience easy? If not, include suggestions to be considered.
Your answer
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