• Free Therapy Fund Exit Survey 2026

    Share your experience in 6–8 minutes—your feedback improves the Free Therapy Fund and won’t affect future eligibility or services.

  • Program Completion

  • Participant Information

  • How many funded sessions were awarded?*
  • Were all awarded sessions completed?*
  • If no, what were the reasons?
  • Was 120 days enough time to use the vouchers?*

  • Access and Financial Need

  • Did cost or lack of insurance make it difficult to access therapy before receiving vouchers?*
  • How financially manageable would it be for you to continue therapy without voucher support?*
  • What would help you continue care?

  • Experience and Quality

  • Thinking about your experience with Therapy Fund Foundation, how satisfied were you with each of the following?

  • Finding a therapist*
  • Scheduling care*
  • Communication about vouchers and deadlines*
  • Treatment received*
  • Cultural responsiveness of the provider*
  • Feeling safe, heard, and respected*
  • Overall therapy experience*
  • Therapy Fund Foundation customer service*
  • Comfort with your provider*
  • Likelihood of recommending the Free Therapy Fund*

  • Outcomes

  • Overall, did therapy lead to a positive outcome for you?*
  • Compared to before therapy, how is your overall mental and emotional well-being now?*

  • Current Mental Health Screening

  • Please complete the PHQ-9 and GAD-7 screening questions below. Select one response for each statement.

  • PHQ-9: Over the last 2 weeks, how often have you been bothered by any of the following problems?

  • Please select one response for each statement.
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  • Thoughts that you would be better off dead, or of hurting yourself in some way*

  • Your response indicates that you have recently experienced thoughts of being better off dead or hurting yourself. You deserve immediate care and support.

    If you are in immediate danger or believe you may act on these thoughts, call 911 or go to the nearest emergency department now. You can also call or text 988 to connect with a trained crisis counselor.

    Please do not wait for Therapy Fund Foundation to review your exit survey, as surveys are not monitored continuously and submitting this form is not a crisis response service.

  • PHQ-9: If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?*

  • GAD-7: Over the last 2 weeks, how often have you been bothered by any of the following problems?

  • Please select one response for each statement.
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  • GAD-7: If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?*

  • Your responses suggest that you may be experiencing significant symptoms of depression and/or anxiety. These questionnaires are screening tools and do not provide a diagnosis. We encourage you to speak with a licensed mental health professional or healthcare provider for a complete assessment and support.

    Please note that Therapy Fund Foundation exit surveys are not monitored continuously, submitting this survey does not establish a therapist-client relationship, and this survey should not be used to request emergency or crisis support.

    If you need immediate emotional support, call or text 988 to connect with the 988 Suicide & Crisis Lifeline. If you are in immediate danger or believe you may act on thoughts of harming yourself or someone else, call 911 or go to the nearest emergency department.

  • Which changes did you experience as a result of therapy?*
  • Did you make any progress toward your therapy goals*

  • Continuity of Care

  • Do you need or want additional therapy sessions?*
  • How many total funded sessions would have been most helpful?
  • Have you continued or scheduled follow-up care with this provider?*

  • Program Improvement and Testimonial

  • What additional support would you like?
  • May the Therapy Fund Foundation use your testimonial in reports, grants, social media, or outreach?*
  • Should be Empty: