Feedback Form Feedback Form Lyfetree Therapy and Counselling 1. Name of Therapist * 2. How well did the services provided by your therapist assist you to meet your goals? * 5. Excellent! 4. Very Satisfied 3. Satisfied 2. Dissatisfied 1 . Very Dissatisfied 3. Did you feel your therapist listened to you and displayed warmth and empathy? * Yes No Maybe 4. To what degree did you feel understood, safe and not judged when with your therapist? * 5. Excellent! 4. Very Satisfied 3. Satisfied 2. Dissatisfied 1. Very Dissatisfied 5. Overall, how satisfied were you with the services provided by your therapist? * 5. Excellent! 4. Very Satisfied 3. Satisfied 2. Dissatisfied 1. Very Dissatisfied 6. Would you recommend Lyfetree Therapy to friends and family * Yes No Maybe 7. Please enter any other feedback you may to help Lyfetree Therapy improve their service delivery * Your Name (optional) Thank you for taking the time to provide us with your feedback! Your input is incredibly valuable as we continuously work to enhance our offerings and provide you with the best experience possible.
