• Session Assignment and Feedback Form (SAFF)

  • This form is designed to help you and your therapist work together to maximize your learning and progress toward your therapy goals.

  • Please select the option which you would like to do today.*

  • Session Feedback

  • Completing this section will help you solidify your learning and create a record of important things you learned in treatment that you can keep and refer to later.

    This information will also help your therapist better understand your needs and tailor your therapy accordingly.

  • Please enter the date of your most recent session*
     - -

  • Rate your therapy session on these five items. Extreme ratings should be reserved for sessions in which you feel you made tremendous progress, had a break-through, or the opposite (e.g. you disagreed with your therapist, you didn't feel heard). Liking your therapist does not mean that you should give him/her the highest ratings possible. Please be as honest as possible with your ratings.

  • 1. How well did you feel heard and understood in session?*
  • 2. How well did we agree on what is causing your problems?*
  • 3. How well did today's session help address your problems?*
  • 4. How confusing was today's session?*
  • 5. How confident are you that you are progressing toward your therapy goals?*

  • Assignment Feedback

  • This section is to record assignments that you and your therapit agree you will do before your next session. Check the appropriate day of the week box when you have worked on an assignment on that day.

  • Please enter the date of your most recent session*
     - -
  • Which day(s) did you work on your first assignment?*
  • Which day(s) did you work on your second assignment?
  • Which day(s) did you work on your third assignment?
  • How helpful were the assignments?*

  • Thank you for completing your feedback. Please click on the submit button to send your feedback to Veterans' NHS Wales.

     

    Hong, J. et al. (2012)

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