Counselling Evaluation

Thank you for taking a few minutes to complete the following evaluation form. Your feedback will help us get a better understanding of whether counselling is helpful and if so why

Please note the form is better viewed on a tablet or PC/Laptop rather than a Mobile device.

Counselling Evaluation Form

Thank you for taking the time to complete our evaluation form for your recent counselling sessions.
It is very important that you enter the unique Therapy evaluation ID we sent you via email in the field below, to help us log your form correctly. 

Please use the unique Therapy ID sent to you in our email. Please use the format "T-000001"
Details for person who received counselling



Whichever is your preferred number

Counselling details



Question 1

Please score the following statements based on how you feel now.  





Question 2


Question 3

Question 4


Question 5

Question 6



Sharing your story

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