My counsellor listened to me effectively.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor understood things from my point of view.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor focused on what was important to me.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor accepted what I said without judging me.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor showed warmth toward me.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor fostered a safe and trusting environment.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor began and finished our sessions on time.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor followed my lead during our sessions whenever that was appropriate.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor provided leadership during our sessions when/if that was appropriate.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My counsellor challenged me when/if that was appropriate.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
The sessions with my counsellor helped me with whatever originally led me to seek counselling.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
Any changes which might have occurred in me as a result of my counselling have been positive and welcome.Please select ...Strongly AgreeSomewhat AgreeNo Strong FeelingSomewhat DisagreeStrongly Disagree
My overall level of satisfaction with the service provided by my counsellor is:Please select ...Very SatisfiedSomewhat SatisfiedNo Strong FeelingSomewhat DissatisfiedStrongly Dissatisfied
Based on my experience, I would recommend my counsellor to others.Please select ...YesNo
Please use the space below for any other comments you would like to bring to your counsellor’s attention. (If there are any matters which you specifically would not have wanted to discuss with your counsellor in person, your counsellor would be especially glad to know of these.) If you include your name in this section, it will be treated as CONFIDENTIAL.
I give permission the feedback I have provided to be shown on the Living Therapy website, with any changes made to preserve the anonymity of all individuals and institutions involved.Please select ...YesNo