End of Therapy Review and Closure - A Positive Start CIC

Section 1 - About Your Support

1. Therapist Name(Required)

2. Therapist Type(Required)

3. How many sessions did you attend?(Required)

Choose from the dropdown options

4. What originally brought you to A Positive Start CIC(Required)

Section 2. What Has Changed?

5. Before therapy, how distressed or overwhelmed did you feel?(Required)

On a SUD (subjective units of distress) Scale of between 0-10

6. Following therapy, how distressed or overwhelmed do you feel now?(Required)

On a SUD (subjective units of distress) Scale of between 0-10

7. What have you achieved or gained from your sessions?(Required)

8. Have you learned any tools or strategies you continue to use?(Required)

9. Do you feel more able to regulate your emotions that when you began?(Required)

Choose one answer from the dropdown that best describes you experience.

Section 3. You Experience of Therapy

10. I felt safe during my sessions.(Required)

On a Scale of 1. Strongly Agree > Strongly Disagree

If other (please specify)

11. My therapist was:

Warm

Empathetic

Professional

Non-judgmental

Easy to talk to

Other (please specify)

(Tick all that apply)

If Other (please specify)

12. I felt listened to and understood(Required)

On a Scale of 1. Strongly Agree > Strongly Disagree

If Other (please specify)

13. If you worked with a student counsellor, did you feel comfortable and well supported?(Required)

Choose one

Section 4. Service Feedback

14. Would you recommend A Positive Start CIC to others?(Required)

Choose one

15. What did we do well? (Optional)

16. What could we improve? (Optional)

17. Would you leave a testimonial we can use anonymously?

Section 5. Closure Confirmation

18. I understand my therapy sessions have now ended.(Required)

Yes

19. I know I can contact A Positive Start CIC in the future if i need further support.(Required)

Yes

20. Overall, how satisfied were you with your support?(Required)

On a Scale of 5. Very Satisfied > 1. Very Dissatisfied

If other (Please specify)

Thank you

Thank you for taking the time to complete this reflection. Your voice matters to us, and your feedback helps us continue creating safe, compassionate spaces for others. We wish you continued growth, strength, and gentleness with yourself as you move forward. With warmth, A Positive Start CIC