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Below are some questions about your therapy sessions. Please consider each question and answer on the continuum line that best represents your feelings during your appointment. Your responses will be helpful in improving your services. Please feel free to add comments for any question. Thank you very much for your cooperation.

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* 1. What is the name of the therapist you are working with?

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* 2. Overall, how would you rate the quality of your sessions?

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* 3. I felt heard and understood in my session?

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* 4. I felt comfortable sharing openly in session?

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* 5. I feel the pace of therapy is right for me?

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* 6. What was the most helpful part of your therapy?

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* 7. How satisfied are you with your therapy overall?

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* 8. Do you have any other comments, questions, or concerns?

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