Your therapist asked you
to fill out this mini-questionnaire.
The survey will be used for feedback to the
therapist, to gather statistical data, and to assure that you will
continue to receive a service that is nurturing, inspiring and
effective. Thank you for
giving us your feedback! It will help us a great deal!
- A. Your therapist's information:
-
Country
-
Date of session
-
Approximate length of your session (in minutes)
- How often have you
had a TransEgo Therapy session? (approximately) times
________________________________________
B. Your feedback:
Please rate the following four
statements:
("10" means that you agree for
100%; "1"
means you disagree completely.)
1. I felt that my therapist was
focused, and believed in my greatness and potential.
2. Regarding my issue, the therapist helped me define a
realistic short term goal.
3. I became more and more peaceful,
calm and balanced.
4. I feel much better now about the
challenging situation I brought to the session.
5. Overall, I am very satisfied with
the session and will recommend TET to others.
6. The issue I worked on had to do
with:
.
7.
Please describe in 1 to 5 sentences
how you experienced TET.
C. Your wishes for the future:
I'd like to schedule another
TET-session
If Yes, did
you schedule a day and time with your therapist?
D. Your Name:
and Email address:
.
Please, double check your
email address. We need your email address to confirm
authenticity of your submission. It will not be sold or given to
others. Your
personal information is kept strictly confidential.
Thank You!
TransEgo
Therapy™
