Client Experience Survey
Please indicate your experiences in therapy below. A score of (1) indicates poor satisfaction, and a score of (5) is the highest satisfaction or excellence. These responses are anonymous unless you leave your contact information below to be shared with a supervisor so that they may be able to follow up with you.
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Which therapist are you providing feedback for?
Clear selection
Based on your last session, did you feel heard, understood and respected by your therapist?
I did not feel heard, understood and respected.
I felt heard, understood and respected.
Clear selection
Based on goals and topics, did you and the therapist talk about and work on what you wanted to talk about?
We did not work on or talk about what I wanted to work on and talk about.
We worked on and talked about what I wanted to work on and talk about.
Clear selection
Was the therapist's approach a good fit for you?
The therapist’s approach is not a good fit for me.
The therapist’s approach is a good fit for me.
Clear selection
Overall, was this experience right for you?
There was something missing in the session/sessions and the experience.
Overall, the session/sessions were right for me.
Clear selection
Is there anything you would like to share or elaborate on based on your answers above?
Do you have any feedback regarding this therapist to help the supervisors develop and improve this employee for future work with others?
If you have a compliment or praise to share about the therapist, provide it below
Optional: Share your contact information (name, email) to help the supervisors determine which case or experience the therapist needs improvement in:
Would you like a supervisor to follow-up with you regarding these responses?
Clear selection
Thank you so much for taking the time to provide feedback and allow us to improve our services.
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