Child Mid-Therapy Evaluation Form
1. We would like some information about your counsellor.
My sessions with my counsellor:
2. How helpful have you found the counselling?
It is helping me to:
3. Would you recommend the counselling service to other people in need of help?
4. Is there anything that you do not like about your counselling sessions?
5. What do you think could improve the counselling service?
Is there anything else you would like to tell us?
Date form completed
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.