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Child Initial Evaluation Form

1. What do you think about where the counselling takes place?

Did you like the room you were in?
Was it Quiet?
Did you feel safe?

2. We would like some information about your counsellor.

My first meeting with my counsellor:

My counsellor was easy to talk to
They listened to me
I felt safe with them
I was able to feel I could trust my counsellor
They started to help me with my problem(s)

3. How helpful have you found the counselling?

It is starting to help me to:

See things more clearly
Understand my problems
Understand myself better as a person
Start to make clearer decisions
Feel better
Feel more confident about myself

4. Would you recommend the counselling service to other people in need of help?

5. Is there anything that you do not like about your counselling sessions, so far?

6. What do you think could improve the counselling service?

Is there anything else you would like to tell us?

Date form completed

Would you be willing for your comments to be anonymously used in our publicity and service evaluations? For example, cited on our website and shared with Ofsted?
Are you happy for your comments to be shared with your counsellor / therapist and other members of the Time to Listen Team?

Should you wish to discuss your feedback in any greater depth, please speak with your therapist or contact:

Julie White, Clinical Director
Time to Listen CIC
Marvell House Children’s Centre
Cranbourne Street
HULL,
HU3 1PP

Email: julie.white@timetolisten.co.uk
Mobile: 07508845512

Thank you for taking the time to complete this form and sharing your feedback

Your completed form will be shared with your Social Worker, if applicable, as part of our regular review process.

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