Therapist Rating

The Center for Psychological Development is very interested in hearing about your experience in counseling, so that we may improve our efforts to serve you. We would appreciate honest feedback, both positive and negative. To be most helpful, we would like to know which therapist or staff member you are referencing, but you may submit information anonymously if you prefer.

Rate the degree to which you felt understood, heard or respected by your therapist.

I felt highly understood, heard or respected.I felt mostly understood, heard or respected.I felt mildly understood, heard or respected. .I did not feel understood, heard or respected at all.

Rate whether you worked on and talked about what you wanted to talk about in sessions.

We nearly always worked on and talked about what I wanted to talk about.We often worked on and talked about what I wanted to talk about.We sometimes worked on and talked about what I wanted to talk about.We hardly ever worked on and talked about what I wanted to talk about.

Rate whether your therapist's approach was good for you.

My therapist's approach was very good for me.My therapist's approach was moderately good for me.My therapist's approach was sort of good for me.My therapist's approach was not good for me.

Looking back at how you've been feeling since entering counseling, rate how your sense of well-being has improved.

My well-being has greatly improved since being in counseling.My well-being has moderatly improved since being in counseling.My well-being has slightly improved since being in counseling.My well-being has not improved since being in counseling.

Name of therapist you are commenting on

Use the space below to tell us about your experience in your own words.

In order for your therapist to help you better, we encourage you to leave your name and contact information so that your therapist will follow up with you. This is not required, however, and we welcome anonymous feedback as well.

Thank you for taking the time to complete this form!

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