Client Feedback

Client Feedback Form

We are committed to providing the highest standards of care. In this brief survey we invite you to share your ratings for the quality of the services you have recently received at The Psychology Centre, both positive and negative. We ask all those who have recently used our therapy services to complete this survey form. We rely on customer feedback to assist us in improving our services.

If you wish to discuss any aspect of the care you received more thoroughly please contact the staff member you had contact with, their supervisor, or the Centre’s director.

When you have completed this survey form please use the free post envelope provided to return the form to us. Your individual feedback will only be viewed by the director.

Your confidentiality is guaranteed.

Many thanks for your assistance.

Joshua MyersJoshua Myers, Clinic Director


0 = Extremely Poor, 5 = Excellent
0 = Not at all, 5 = Definitely
0 = Not at all, 5 = Completely
E.g. Location, appointment times, staff availability 0 = not at all accessible, 5 = Highly accessible
0 = Not at all, 5 = Definitely
0 = Certainly not, 5 = Yes, without reservation
0 = Not at all, 5 = Very satisfied
0 = Unprofessional, 5 = Highly professional
0 = Definitely not, 5 = Absolutely

If you wish to be contacted about your feedback, please provide details here