Feedback form

1. The therapist helped create an environment in which I felt able to discuss issues in an open, honest manner:

2. The therapist demonstrated understanding of my issues:

3. The therapist helped me discover new ways of understanding my issues:

4. After completing counselling or hypnotherapy, I feel significantly better:

5. The counselling room(s) were a safe and comfortable environment for therapy:

6. I would recommend counselling or hypnotherapy with this therapist to a friend:

I am continually looking to improve my practice. Please provide any comments you might have below:

If you prefer, you can submit feedback about our session anonymously. In that case, please leave the fields below blank. However, it may help me to understand your feedback better if I know who you are. In particular if you would like to discuss any issues associated with how the sessions went, please leave contact details below.