Survey Form Thank you for trusting us with your journey. Your feedback helps us grow and serve better. Name Name (Optional – You may also use initials or write “Anonymous” if you prefer) Email (Optional, if you'd like us to follow up) How would you rate your first session with us? * Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied How comfortable did you feel with your therapist? * Not at all comfortable Slightly comfortable Neutral Comfortable Very comfortable Did you feel heard and supported during your session? * Yes Somewhat No Was it easy to book and attend your appointment? * Yes Somewhat No Is there anything we could improve for future sessions? Would you recommend Grace to Grace to others? Yes No Maybe Testimonial We’d love to hear how your first session impacted you. If you’re comfortable, share a short message we can use (anonymously or with your name) to help others know what to expect. Can we feature your testimonial on our website or social media? Yes, with my name Yes, anonymously No Thank you!