Counselling Feeback Form

We understand that during difficult times it can be hard to know who to turn to. Sometimes your thoughts and feelings can leave you and those who are important to you, struggling to cope.

Here at Kaleidoscope, our counselling sessions offer you a safe space to talk about the issues you’re facing and explore difficult feelings in a confidential, non-judgemental environment. We are continuously trying to improve and develop the service so that we can provide crucial mental health support services to the community, wherever they are needed. The most important way for us to do this is to gather feedback from individuals who have been supported by us.

Below is an evaluation form. As someone we have supported, we would love to get your feedback on the service and really value your honest opinions and suggestions for how we could improve. Your comments will be anonymous, however, if you would like us to contact you regarding any of your comments, please include your name, email and telephone number at the end of the form.

Please be assured that if needed, you can always re-refer yourself back to our service, or share our details with anyone else you feel may need our support. We are always here to listen.

Want to help others by sharing your experience? We really appreciate you taking the time to complete this form. If you are happy to, we would greatly appreciate it if you could provide us with more details about your mental health experience. This will be shared with others to encourage those who need support to get in touch. If you would be interested in participating in either a written, audio or video case study, please leave your details below and our PR and Communications team will be in touch. Thank you!
First and Last Name

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