Mind Forward Feedback Form

You have been sent this link if you recently completed Mind FORWARD. Please let us know your thoughts on this support to improve our service and pass on to funders.

Name and Surname

Network this relates to

Please copy and paste the Network ID. This is a combination of letters and numbers provided by your facilitator. It looks like this: 0064J00000JdBoe

It is very important for us to monitor our work, in order that we might improve. Please rate the session you recently had with one of our practitioners by underlining the number that best fits your experience on the following scales

Mind FORWARD was explained on the website or by those I spoke to, in a way that I understood

1 = not at all and 10 = fully

The pre-session questionnaire was useful in helping me to prepare for the session

1 = not at all and 10 = fully

I felt heard, understood or respected by my practitioner

1 = not at all and 10 = fully

We did discuss what I wanted to in the session

1 = not at all and 10 = fully

The Mind FORWARD approach was a good fit for me

1 = not at all and 10 = fully

Overall, I did get what I wanted from the session

1 = not at all and 10 = fully

If I wanted another therapeutic session I would choose Mind FORWARD

1 = not at all and 10 = fully

Finally, if there was anything that was particularly useful or anything that could have been done to have improved the session for you, please let us know in the box below:

What didn't you like? What would you change?

Over the last week, how often have you been bothered by any of the following problems?

Feeling nervous, anxious or on edge

0 - Not all all

1 - Several days

2 - More than half the days

3 - Nearly every day

Not being able to stop or control worrying

0 - Not all all

1 - Several days

2 - More than half the days

3 - Nearly every day

Feeling down, depressed, or hopeless

0 - Not at all

1 - Several days

2 - More than half the days

3 - Nearly every day

Little interest or pleasure in doing things

0 - Not at all

1 - Several days

2 - More than half the days

3 - Nearly every day