Therapist Feedback Form 2019

Please fill in after the assessment

Date of the Visit *
Date of the Visit
Were you the appropriate Therapist for the specific problem? *
Does your client see other professionals? *
Did you find this session more challenging than usual? Why? *
Did you feel that your client listened to you, valued your approach and the advice you gave? *
Did you feel that your client responded well to your intervention? *
Are you confident with your current working diagnosis/findings? *
Do you feel that your client has now a better understanding of their problems? *
Are you confident that the client is in line with your findings and plan of action? *
In honest hindsight, do you feel that you delivered the best service you could or could you have done something different to enhance it? *
Refer a friend: Do you want us to send an email to your client with an SFS Voucher “refer a friend for free – first consultation’? *
(Why and to who?)
Have you booked in a follow-up visit? *
Have you agreed any goals with the client? *
Have you agreed how often you will see the client initially? *
What is your long term plan? (week 4 onward) *
Where is your client in the SF Patient Journey? *
Have you referred your client to any of our online material? *
Have you informed your client of any other services at SF Studios? *
Have you introduced your Client to any of the other Therapists? *