Evaluation of Therapy for Adult Client

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Thank you for taking the time to let us know about your experience working with Foundations Counseling Center. Your feedback is helpful for our therapists, supervisors, and program evaluators. Please provide us with your honest feedback on how your therapist helped you. If you would like to remain anonymous you may. This evaluation should take you 3-4 minutes to complete.

Your Name: (optional if you want to remain anonymous)

Therapist’s Name: *

Today's Date: *

YYYY

What County does the client live in? *

When did you start working with the current therapist for this client? *

We recently started working together with this client. It’s been less than 3 months.

We’ve been working together with this client for some time. It’s been more than 3 months and have already completed 1 treatment review.

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