Feedback: Post-Therapy

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Thanks for allowing us to support you in therapy or coaching.

We highly value your post-therapy feedback as it helps us grow and better serve future clients.

We welcome your complete honesty.

If a couple, it is helpful if both partners complete this feedback form separately.

Your feedback will be read by staff and sent to your therapist or coach.

Thank you for your time!!

The name of your therapist or coach: *

Your name or initials:

Select the appropriate item:

Individual client

Couple client

Family client

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Date of Final Session (optional):

YYYY

Relationship

I did NOT feel heard, understood and respected by my therapist

I DID feel heard, understood and respected by my therapist

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Goals

We did NOT achieve the goals we set.

We DID achieve the goals we set.

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Balance

My therapist favored one person over the other..

My therapist was careful to fully support both partners.

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Approach or method

Your therapist's approach was NOT a good fit for me.

Your therapist's approach WAS a good fit.

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If the fit was not good, what would have made it a better fit?

How much did you experience these items from your therapist?

Too little

Just right

Too much

Safety to be vulnerable and Trust in your therapist

Challenged to grow/change

Pacing (How fast we went)

Therapist talking

Concrete tools

Big picture focus

Encouragement

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Would you recommend your therapist to a friend?

Yes

Not sure

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What else would you like to share? All input is highly valued.

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