Post-session feedback form

Please correct the errors described below.

Please answer the following questions to help me understand more about what you took away from the session. Feel free to answer or not answer any questions that you would like. Completion of this form is not mandatory, but I hope that any feedback you can give can help me to better assist you moving forward.

I felt that the session focused on issues important to me.

Strongly Agree Agree Disagree Strongly Disagree

I felt that I was heard during the session.

Strongly Agree Agree Disagree Strongly Disagree

I felt the session was:

Far too open-ended A little too open-ended Just right A little too structured Far too structured

After today's session, I feel:

Much less ready to address problems in my life A little less ready to address problems in my life About the same A little more ready to address problems in my life Much more ready to address problems in my life

The thing that I found the most helpful about today's session was:

What I want to reflect on between now and my next session is:

Something(s) I would like to talk about next session is (are):

Other thoughts:

Your Name

Date of Session

Thank you for your feedback!

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