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Home » Session Evaluation

Session Evaluation

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Your Name *

First

Last

Your Email *

Instructions

For each item, select the option that indicates how you feel about your therapy session right now.

Therapeutic Empathy

0 – Not at all
1 – Somewhat true
2 – Moderately true
3 – Very true
4 – Completely true

My therapist seemed warm, supportive, and concerned. *

0
1
2
3
4

My therapist seemed trustworthy. *

0
1
2
3
4

My therapist treated me with respect. *

0
1
2
3
4

My therapist did a good job of listening. *

0
1
2
3
4

My therapist understood how I felt inside. *

0
1
2
3
4

Helpfulness of the Session

0 – Not at all
1 – Somewhat true
2 – Moderately true
3 – Very true
4 – Completely true

I was able to express my feelings during the session. *

0
1
2
3
4

I talked about the problems that are bothering me. *

0
1
2
3
4

The techniques we used were helpful. *

0
1
2
3
4

The approach my therapist used made sense. *

0
1
2
3
4

I learned some new ways to deal with my problems. *

0
1
2
3
4

Satisfaction with Today’s Session

0 – Not at all
1 – Somewhat true
2 – Moderately true
3 – Very true
4 – Completely true

I believe the session was helpful to me. *

0
1
2
3
4

Overall, I was satisfied with today's session. *

0
1
2
3
4

Your Commitment to Therapy

0 – Not at all
1 – Somewhat true
2 – Moderately true
3 – Very true
4 – Completely true

I plan to do therapy homework before the next session. *

0
1
2
3
4

I intend to use what I learned in today's session. *

0
1
2
3
4

Negative Feelings During the Session

0 – Not at all
1 – Somewhat true
2 – Moderately true
3 – Very true
4 – Completely true

At times, my therapist didn't seem to understand how I felt. *

0
1
2
3
4

At times, I felt uncomfortable during the session. *

0
1
2
3
4

I didn't always agree with my therapist. *

0
1
2
3
4

Difficulties with these Questions

0 – Not at all
1 – Somewhat true
2 – Moderately true
3 – Very true
4 – Completely true

It was hard to answer some of these questions honestly. *

0
1
2
3
4

Sometimes my answers didn't show how I really felt inside. *

0
1
2
3
4

It would be too upsetting for me to criticize my therapist. *

0
1
2
3
4

Comments

What did you like the least about the session?

What did you like the most about the session?

Email: [email protected]
Phone: (02) 8880 9913

603/26-30 Spring Street, Bondi Junction 2022
Crisis Support Resources

We acknowledge Aboriginal and/or Torres Strait Islander peoples and communities as the Traditional Custodians of the land we work on and pay our respects to Elders past, present and emerging. We value and include people of all backgrounds, genders, sexes, sexualities, cultures, bodies and abilities.

Copyright © 2022 Constellation Therapy Pty Ltd

Email: [email protected]
Phone: (02) 8880 9913

603/26-30 Spring Street, Bondi Junction 2022
Crisis Support Resources

We acknowledge Aboriginal and/or Torres Strait Islander peoples and communities as the Traditional Custodians of the land we work on and pay our respects to Elders past, present and emerging. We value and include people of all backgrounds, genders, sexes, sexualities, cultures, bodies and abilities.

Copyright © 2022 Constellation Therapy Pty Ltd