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Jeff Goodrich Counselling
Feedback Form
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How would you rate your counselling experience with Jeff?
Poor
Satisfactory
Very Good
Excellent
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I value your feedback -- Please elaborate on your response for the previous question.
Your answer
In your opinion, did you make significant progress toward your goal(s)?
Not at all
Somewhat
Definitely
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In what way could this counselling experience have been better?
Your answer
Were there any resources that you found particularly helpful?
Your answer
What was the single most important thing that you took away from counselling sessions with Jeff?
Your answer
Are you likely to refer other people to Jeff for counselling?
Of course
Not at all
Possibly
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Would it be OK with you if your feedback comments were shared anonymously on Jeff's website?
Yes
No
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