Mental Health Counselor Feedback Form — Form Fields
This feedback template includes 8 fields. Collect anonymous client feedback on therapy sessions, counselor effectiveness, and overall experience. Free to customize and use on ZenBuild.
Session Type (dropdown selection, required) — options: Individual Therapy, Couples Counseling, Family Therapy, Group Session
Feeling Heard & Understood (rating, required)
Counselor Helpfulness (rating, required)
Progress Toward Goals (rating, required)
Scheduling & Accessibility (rating, required)
Overall Comfort with Sessions (rating, required)
Are You Continuing Therapy? (multiple choice, optional) — options: Yes, Taking a Break, Completing Treatment, Undecided
Is There Anything You'd Like to Share Anonymously? (long text, optional)
