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Service Feedback Form (Anonymous Feedback)

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Name of Treating Therapist: *

I consent to The Psychotherapy Clinic anonymously (protecting my identitity) sharing my service feedback on the website

I consent to the Psychotherapy Clinic sharing my feedback on social media channels anonymously (protecting my identity)

How did you initally find our service to make contact with us? *

Please tell us about your experience of receiving therapy *

How would you rate the quality of our services on a scale of 0-5 (0= Low quality service 5= High quality service) *

How likley would you recommend our services to your family and friends? *

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of service evaluation. I am aware I can make an informed decision using the above checkboxes whether my feedback is shared externally anonymously. I am aware that I can revoke my consent at any time by emailing info@thepsychotherapyclinic.co.uk

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Thank you for completing our Service Feedback Form, we appreciate the time you have taken to complete this. We listen to all feedback and make changes to our service regularly. Your feedback will help us to provide the people we see with the best quality service.

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