CLIENT EVALUATION

Thank you for taking a moment to evaluate your time in therapy with our practice. We rely on your feedback to continually improve our services and offer the best care for your needs.

Note: you are welcome to remain anonymous in the following form however you must include your contact information if you would like follow-up from our executive team.

Name
Name
Phone
Phone
I am receiving the following services at this practice: *
You may select more than one.
I am receiving psychotherapy and/or medication management from the following provider: *
My Experience of My Therapist *
My Experience of My Therapist
My therapist begins and ends sessions in a timely manner
My therapist responds to my email or text communication within 24 hours
I feel respected and treated fairly by my therapist
Please share any additional information you would like to mention about your experience working with your therapist or our care coordination team.
I would like follow-up communication regarding my evaluation from the executive team of Healthy Minds NYC. *