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Treatment Feedback
It has been an honor to work with you. I respect you and your time and I hope that was conveyed throughout our work together. Please provide feedback to improve our practice.
Thank You.
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Initials
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Your answer
Professional Relationship
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I did not feel heard, understood or respected.
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I felt heard, understood and respected.
Goals and Topics
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We did not work on or talk about what I wanted to work on and talk about.
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We worked on and talked about what I wanted to work on and talk about.
Approach or Method
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The counselor's approach was not a good fit for me.
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The counselor's approach was a good fit for me.
Based on your experience, how could I have improved as your counselor?
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Based on your experience, did Therapy Appointment, Ivy Pay and other technical programs used make your experience easy? If not, include what needs were not met.
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Did I display sensitivity to your background, culture and/or diversity? Please elaborate.
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Is there anything you needed to feel more supported during the process?
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Asking for what we need is one of the most important self-care skills we can cultivate - give yourself permission to ask directly for exactly what you needed.
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What was the most valuable part of our work together?
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If you return, what would make your experience better?
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Is there anything else you would like to share?
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