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Client feedback form
Please complete this form, Thank you for taking the time to provide feedback. Your insights help improve the quality of counselling and therapy services.
Overhaul Experience.
How would you rate your overall experience?
*
Please select
Excellent
Fair
Good
Poor
How comfortable did you feel during sessions?
*
Please select
Very Comfortable
Comfortable
Neutral
Uncomfortable
Was the therapist supportive and understanding?
*
Please select
Always
Often
Sometimes
Rarely
What aspects of your therapy did you find most helpful?
Is there anything you feel could be improved?
Would you recommend Journey With John to others?
Please select
Yes
No
Maybe
Any other comments?
Optional.
Name (if you wish to share with John)
First
Last
Date Time
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