(NG) Individuals Counselling Follow Up Session Questionnaire

Let me know how you have been since our last session

Please take a moment to fill out the questions before our session.

Looking forward to it!

Your Name

First Name

Last Name

Your Partners Name

First Name

Last Name

Did you have any follow up practices to do after your session?

Yes

If yes, How did it go? Were there any challenges?

On a scale of 1-10, How do you currently feel about your relationship challenge? (1 having a low impact on how you feel and 10 having significant impact).

Is there anything else you would like to share before your next session?