Midway Client Feedback
This form helps both you and your counselor reflect on progress and set goals for the rest of your sessions. We value your feedback. This form will be shared with your counselor.
Name
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Date
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Counselor's name
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Overall Progress and Experience
Number of sessions completed
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What are the main goals you are working towards in counseling?
Counselor-Client Relationship
How would you describe your relationship with your counselor?
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I feel heard, valued and respected.
I feel mostly understood but there are some areas where we could improve.
I struggle to connect with my counselor.
Please share any specific examples of things your counselor has done to help you feel supported.
Use of Scripture and Counseling Techniques
How well do you feel Scripture and biblical principles are applied in your sessions?
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Scripture is well integrated and relevant to my needs.
There is a good mix, but I would like a bit more Scripture.
I feel Scripture could be applied more in our sessions.
What tools or strategies has your counselor provided that have helped you in daily life?
Personal Growth
How would you describe your progress so far in meeting your goals?
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I am making noticeable progress.
I see some progress, but it is slow.
I don't feel I am progressing yet.
Please note any positive changes or growth you've noticed in yourself through this process.
What challenges or areas do you feel still need work?
Feedback for Counselor
How satisfied are you with the counseling process so far?
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Very satisfied
Mostly satisfied
Somewhat satisfied
Dissatisfied
What is working well for you in your sessions?
Are there any areas where you would like more support or a different approach?
Future Sessions
What areas would you like to focus on in the remainder of your counseling sessions?
Are there additional resources you feel would be helpful?
Thank you for your feedback. Your counselor will review this form to help guide and support your continued growth in the counseling process.
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