Client Evaluation Form

We at the Montreal Therapy Centre hope that we were able to provide you with the necessary services in order to help you overcome your problem. To ensure that we are providing the best service available we would appreciate it if you could take a few minutes to complete this form. Personal information is not to be given as this is an anonymous survey of our services.


    *Name of Therapist

    Rating
    Please mark your response

    Poor

    Fair

    Very good

    1

    2

    3

    4

    5

    Was your call or email answered quickly and courteously?

    Were you referred to a therapist as promptly as you expected?

    Was your therapist someone you felt comfortable with?

    Did you feel like your therapist had a good understanding of the problem that brought you to therapy?

    Was your therapist punctual and professional at all scheduled appointments?

    Do you feel that the goals you had for therapy at the onset were adequately addressed?

    Was your therapist able to help you as much as you expected?

    How satisfied were you with the outcome of the therapeutic process?

    Do you feel you now have the knowledge necessary to overcome your problem?

    Would you recommend your therapist to others?

    Overall, how would you rate the services you received?

    Therapist's strengths

    Anything that could be improved?

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