Creative Therapy Evaluations – Child and Parent

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

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

Creative Therapies Evaluation Form - Adult & Child

Page 1

Thank you for taking the time to complete our evaluation form for your child's recent creative therapy 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. 

Page 1 should be completed by the Adult and Page 2 should be completed by the child

Please use the unique Therapy ID sent to you in our email. Please use the format "T-000001"
Child's details


Parent/Carer details




Whichever is your preferred number

Creative Therapy details



Question 1


Question 2
Below is a list of statements, please could you score them in terms of your child after therapy.
N/A 1 (poor) 2 (fair) 3 (good) 4 (very good) 5 (excellent)

Question 3


Question 4


Question 5

Sharing your story
From time to time we appreciate being able to share the benefit you have felt from counselling after meningitis. Would you be willing to share your experience, eg case study, evaluation in our publications and on social media

Page 2

This section should be completed by the child who has received Creative therapy
Brilliant Good OK Not Great Bad

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