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1. My name

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2. Date of session

Date

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3. Your session provider's name

Please rate today's session by placing a mark on the lines below nearest to the description that best fits your experience

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5. Relationship

I did not feel heard, understood and respected I felt heard, understood and respected
Clear
i We adjusted the number you entered based on the slider’s scale.

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6. Goals and Topics

We did not work on or talk about what I wanted to work on or talk about We worked on or talked about what I wanted to work on or talk about
Clear
i We adjusted the number you entered based on the slider’s scale.

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7. Approach or Method

The provider's approach is not a good fit for me The provider's approach is a good fit for me
Clear
i We adjusted the number you entered based on the slider’s scale.

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8. Overall

There was something missing in the session today Overall, today's session was right for me
Clear
i We adjusted the number you entered based on the slider’s scale.

T