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Session Rating Scale
Please rate our last session by choosing a score that best fits your experience.
8
Questions
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1
NAME
First Name
Last Name - INITIAL ONLY
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2
DATE OF SESSION
-
Day
Month
Year
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3
SESSION NUMBER
*
This field is required.
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4
RELATIONSHIP
*
This field is required.
1 = I did NOT feel heard, understood, and respected. 10 = I felt heard, understood, and respected.
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5
GOALS AND TOPICS
*
This field is required.
1 = We did NOT work on or talk about what I wanted to work on and talk about. 10 = We worked on and talked about what I wanted to work on and talk about.
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6
APPROACH OR METHOD
*
This field is required.
1 = The therapist’s approach is NOT a good fit for me. 10 = The therapist’s approach is a good fit for me.
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7
OVERALL
*
This field is required.
1 = There was something missing in the session. 10 = Overall, the session was right for me.
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8
Comments or Feedback
Feel free to add any comments or feedback to help us improve upcoming sessions
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