Time to Listen logo

We specialise in working with children, young people and families, but also provide counselling for adults

Child's End of Therapy Evaluation Form

1. We would like some information about your counsellor.

First name of Counsellor

 

smile1

neutral1

unhappy1

My counsellor was easy to talk to

They listened to me

I felt safe with them

I was able to trust my counsellor

They helped me with my problem

2. Have you got what you wanted from the counselling?

Yes No A little

If 'No' please could you tell us more about this

 

I have found counselling to be a very positive experience — Yes No

If 'No' please could you tell us the reason for this

 

If you needed to would you use the counselling service again? Yes No

3. How helpful have you found the counselling?

It helped me to:-

smile2

neutral2

unhappy2

Understand my worries better

Feel happier

Making better choices for myself

Feel calmer

Get on better with friends

4. If you needed to would you use the counselling service again?

Yes No

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

Yes No

6. Was there anything you disliked about the counselling sessions you received?

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

Is there anything else you would like to tell us?

Date form completed

Name of the person completing the form

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?

Yes No

Are you happy for your comments to be shared with your counsellor / therapist and other members of the Time to Listen Team?

Yes No

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

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


Funding grants successfully awarded from the following have enabled Time to Listen to thrive and grow as an essential therapeutic service despite the COVID-19 pandemic. This funding has enabled Time to Listen to continue being responsive to the needs of our local communities.

safer hull logoBBC Children in Need logo