Feedback Form

Thank you for taking the time to provide feedback. Your insight helps us learn and improve.If you're feeling unsure, please know you're welcome to share as much or as little as feels comfortable for you.

Please rate the following statements:

(1 = Strongly Disagree | 5 = Strongly Agree)

1. I felt respected, listened to, and safe during my sessions.12345

2. My therapist supported me in working towards goals that mattered to me.12345

3. I gained useful tools or insights to manage challenges in my life.12345

4. I feel more equipped to make positive changes moving forward.12345

5. Overall, I am satisfied with the support I received.12345

Open Feedback

What did you find most helpful in your sessions?

What could have been better or felt different?

Is there anything else you’d like us to know?

Final Questions

Would you recommend Back on Track Psychology to someone else?YesNoNot sure

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