Center for Solution-Focused Training 
Therapist training, supervision, organizational consultation, and therapy

Joel K. Simon, LCSW, ACSW, BCD

 

THERAPY FEEDBACK FORM

Comments may be used for promotional reasons: if so, all identifying information will be removed so that such comments are used anonymously.

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1) In terms of your "best hopes" for therapy, where are you now. Please rate:

1: "things are worse") 2: "things are the same" 3: "things are a little better" 4: "things are much better" 5: "my best hopes have been achieved."

Your rating

 

2) What happened during your sessions that was (were) the most helpfull?

 

3) What would you like others to know about your work with Joel?

4) Do you have any suggestions or other comments?

 

5) It's OK to use my comments for promotional reasons. I understand that you will use them anonymously only.





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