2045 Harvard St, Halifax, NS B3L 2S6
TELEPHONE: (902) 407-4455
[email protected]

Client Feedback Form

Please take a moment to give us some feedback about our clinic and the psychological services we provide. This will help us identify the strengths and weaknesses of our therapists as well as helping to improve the services we offer to others.

You DO NOT need to identify yourself.

1 - 4 5 - 8 9 - 12 12 or more
Administrative Services Strongly Agree Somewhat Agree No Strong Feeling Somewhat Disagree Strongly Disagree
I received a prompt response to my initial phone call / email.
Booking appointments was straightforward.
Appointment wait times were reasonable.
Directions to the office were clear and easy to follow.
I was made to feel welcome by reception staff.
The reception area was appealing and comfortable.
The courtesy appointment reminders were helpful.
Working Relationship with your Therapist Strongly Agree Somewhat Agree No Strong Feeling Somewhat Disagree Strongly Disagree
My therapist listened to me effectively.
My therapist seemed to understand my point of view.
My therapist accepted what I said without judging me.
My therapist fostered a safe and trusting environment.
My therapist seemed to welcome collaboration and constructive feedback about how I felt the sessions were going.
I felt comfortable giving feedback to my therapist about my experience with them.
My therapist began and finished our sessions on time.
My therapist followed my lead in our sessions when appropriate.
My therapist took the lead in our sessions when appropriate.
My therapist challenged me when/if it was appropriate.
My therapist seemed knowledgeable about the issues.
My therapist had a sensible conceptualization of my concerns.
Therapeutic Results Strongly Agree Somewhat Agree No Strong Feeling Somewhat Disagree Strongly Disagree
The sessions with my counsellor helped me with whatever originally led me to seek counselling.
Therapy goal(s) that we set in session was achieved.
Any changes which might have occurred in me as a result of my counselling have been positive and welcome.
I am very satisfied with the quality of services provided.
I would recommend my therapist to a friend, if they were facing similar problems.
Other Comments/Suggestions:
Yes No
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Contact Halifax Psychologists at Cornerstone Psychological Services

2045 Harvard St., Halifax, NS Phone: (902) 407-4455 Web: http://www.cornerstoneclinic.ca