Outpatient Therapy Session Feedback

Outpatient Therapy Session Feedback — Form Fields

This feedback template includes 9 fields. Collect anonymous feedback from outpatient therapy clients on therapist effectiveness, environment, and progress. Free to customize and use on ZenBuild.

• Type of therapy received (dropdown selection, required) — options: Individual therapy, Couples therapy, Family therapy, Group therapy, Cognitive behavioral therapy, Other
• How long have you been attending sessions? (dropdown selection, required) — options: First session, Less than 1 month, 1-3 months, 3-6 months, 6-12 months, 1+ year
• Overall satisfaction with your therapist (rating, required)
• Feeling heard and understood during sessions (rating, required)
• Progress toward your personal goals (rating, required)
• Comfort and privacy of the therapy environment (rating, required)
• Would you recommend this therapist or practice to someone? (multiple choice, required) — options: Definitely, Probably, Unsure, Probably not, No
• Areas where you would like more focus (checkboxes, optional) — options: Anxiety, Depression, Relationships, Grief, Trauma, Work stress, Self-esteem, Communication skills, Life transitions
• What would make your sessions more effective? (long text, optional)