Online Therapy Platform Feedback Form

Online Therapy Platform Feedback Form — Form Fields

This feedback template includes 9 fields. Let clients share feedback on therapist matching, session quality, platform usability, and overall experience. Free to customize and use on ZenBuild.

• Email Address (email, optional)
• Therapy Type (dropdown selection, required) — options: Individual, Couples, Family, Teen/Adolescent, Group
• Therapist Match Quality (rating, required)
• Session Effectiveness (rating, required)
• Platform Ease of Use (rating, required)
• Communication and Scheduling (rating, required)
• Did you feel heard and supported? (multiple choice, required) — options: Always, Usually, Sometimes, Rarely
• Would you recommend this platform? (multiple choice, required) — options: Definitely, Probably, Unsure, Probably Not, Definitely Not
• What could be improved? (long text, optional)