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End of therapy feedback form
This is a private form, no one of my team would be able to see your answers, only me (Yasmine).
Full Name
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Reason for ending therapy?
*
Reason for ending therapy?
I have reached my therapy goal already.
I feel I need a break from therapy for integration.
I have certain circumstances
I need another kind of therapy / therapist
Tell me more or share your feedback on therapy with me
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Do you want to discuss this with me in a quick call to make sure you get the proper help needed?
*
This call will be free of charge and its sole goal is to make sure you are well-cared for in all cases.
Do you want to discuss this with me in a quick call to make sure you get the proper help needed?
Yes
No
Submit