Thank-you for taking a couple of minutes to complete this feedback form.

The information provided on this form is confidential and will only be reviewed by the River's Edge Counselling Centre director and office manager. It will not be shared with your therapist, unless you provide permission at the end of this form.

Name
Name
Phone
Phone
How would you describe your experience at River's Edge Counselling Centre?
How would you describe your experience at River's Edge Counselling Centre?
My therapist understands me and respects me
My therapist has helped me identify my goals
My therapist has helped me to reach my goals
My therapist's approach has been a good 'fit' for me so far
The office staff was helpful and caring in providing information and booking my first session
The office space is inviting and comfortable
The online Client Portal has been a helpful resource for booking appointments, filling out forms, and checking invoices & upcoming appointments
If you have not returned to therapy, please let us know why:
Can our Office Manager or Director contact you to follow-up on any concerns you have expressed on this form?
If Yes, how would you like us to contact you?
Would you like us to share the information on this form with your therapist?