Therapy Evaluation Form Name * First Name Last Name Email * Please give a brief outline of your goals/ hopes for attending Oriel CBT Clinic? * Please give a brief outline of how your goals were or were not met? * Please rate how helpful you found attending CBT/ EMDR? * 0 = Unhelpful | 10 = Very Helpful 1 2 3 4 5 6 7 8 9 10 Any other comments about your experience? * Thank you for taking the time to provide feedback. Sometimes we upload comments to the website, to share with potential clients who may be unsure whether CBT might prove helpful. If you give permission for comments to be shared (anonymously) please tick the box below. I give permission for my comments to be shared and that my identity will be protected Thank you!