New Client Feedback Form

Name *

First Name

Last Name

Overall, how would you rate your experience of your first session at TMH from 1-5? (1 Being unsatisfactory and 5 being the Best)

1

2

3

4

5

Are you satisfied with prompt response to your email/call

Yes

No

Are you satisfied with scheduling an initial appointment

Yes

No

My therapist was a good listener

Yes

No

I felt respected and not judged by my therapist

Yes

No

My therapist helped me explore my options and solutions

Yes

No

I will continue having therapy with TMH

Yes

No

It's likely I'll recommend my therapist to others

Yes

No

It's likely I'll recommend TMH to others

Yes

No