Therapy Experience Questionnaire
Welcome to our therapy experience questionnaire. This form is designed to help us understand your past experiences with therapy and your current needs and concerns. Your answers will help us tailor a therapy plan that is best suited to your individual needs and goals. Thank you for taking the time to complete this form.
Have you ever received therapy or counseling?
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What is it that’s hurting you? 
Write as much as you feel comfortable, the more the merrier.
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What concerns or fears do you have about therapy?
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Have you ever been discouraged from seeking therapy by others? If yes, who and why?
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What are your expectations or goals for therapy?How do you think therapy could benefit you or improve your life?
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How long did you receive therapy for?
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How good was your connection with your therapist? Did they feel like a friend?
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How did your therapist approach you? What were the topics you discussed?
Did you feel comfortable and safe discussing your thoughts and feelings with your therapist?
Clear selection
Did you feel that your therapist listened to you and understood your perspective?
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How has therapy affected your life?
Did you experience any challenges or barriers during your therapy, such as difficulty getting access or affording sessions?
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