Cognitive Behavioral Therapy Program Evaluation Survey
Please share your feedback about your experience with our Cognitive Behavioral Therapy program. Your responses will help us improve our services.
Please select your age group:
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
What is your gender?
*
Male
Female
Non-binary/Third gender
Prefer not to say
Other
How satisfied are you with the overall Cognitive Behavioral Therapy program?
*
1
2
3
4
5
Please rate the following aspects of the program:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Quality of sessions
1
2
3
4
5
Therapist's communication
6
7
8
9
10
Comfort of environment
11
12
13
14
15
Clarity of program materials
16
17
18
19
20
Support between sessions
21
22
23
24
25
How easy was it to understand the therapy concepts and techniques?
*
Very difficult
Somewhat difficult
Neutral
Somewhat easy
Very easy
How much progress do you feel you have made towards your therapy goals?
*
No progress
A little progress
Moderate progress
Significant progress
Achieved all goals
How likely are you to recommend this program to others?
*
Not at all likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not at all likely, 10 is Extremely likely
Which components of the CBT program did you find most helpful? (Select all that apply)
Individual sessions
Group sessions
Workbooks/materials
Homework assignments
Therapist support
Other
Were there any challenges or barriers you faced during the program?
*
Yes
No
If yes, please describe the challenges or barriers you faced:
Do you have any suggestions for improving the Cognitive Behavioral Therapy program?
Submit Survey
Should be Empty: