Dr. Lucking Session Feedback Form
First Name (optional)
Your answer
Session Date (optional)
MM
/
DD
/
YYYY
During your session did you feel heard, understood, and respected? *
No
Yes
Were the topics and goals most important to you addressed in session? *
No
Yes
Was the therapist's approach and methods a good fit for you? *
No
Yes
Optional comments about overall experience of your therapy session
Your answer
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