*Therapist
    *Client's Name
    Client's age
    *Therapy
    Location
    Language
    Type
    Gender of Client
    *Date of first session (YYYY-MM-DD)
    *Date of last session (YYYY-MM-DD)
    *Total number of sessions
    *Fee per session
    *Do you feel the client's goals were met?
    (1 = Not at all; 3 = Some Goals; 5 = Most Goals)
    *Timing of Termination
    (1 = Sudden; 3 = Premature; 5 = Appropriate)
    *How satisfied were you with the outcome of the case?
    (1 = Very Unsatisfied; 3 = Satisfied; 5 = Very Satisfied)
    Additional Comments
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