I’m keen, as I grow and develop my psychotherapy and counselling practice, to learn what I can to improve what I do. So I’ve put together this feedback form.
Having said that, I’m also aware that psychotherapy and counselling is such a private, personal thing. So you may not want to say anything and that’s ok. Please don’t complete it if you don’t want to.
All questions are optional so if you don’t feel comfortable answering one or more of them, you can leave them out.
The form below is received by me anonymously, although I appreciate that some of you may wish me to know your name, so I’ve added a box for that at the end.
With one, optional, exception (see next paragraph), all your answers are treated confidentially. They will only be used in combination with other replies so that I can see what is working and how I can improve.
I do have one optional question called “Additional Feedback”. If you want, you can choose to allow me to use your answer in my marketing material. Please don’t feel obliged to say yes. I also allow a 30 day “cooling off” period in case you said yes but then change your mind. If you do change your mind, please email email@example.com and I’ll make sure I keep your response confidential.
It is always a privilege to work with my clients, thank you for trusting me.
All the very best,