Generic Psychotherapy

Patient/Client Response Form

We are interested in your response to psychotherapy. The World Wide Web offers an opportunity to survey people from all around the world, a much wider group than has been possible in previous studies. Your responses will be helpful to therapists and to other people like yourself who have had therapy and who are contemplating it.

Please supply the following information:

Your gender: Male Female
Age:
City:
State:
Country:
Education:
Occupation:
Length of Treatment:
Type of Treatment (i.e. Behavior Therapy, Psychoanalysis, etc.):

Difficulty which brought you into therapy:

Please describe aspects of your psychotherapy which you found particularly helpful:
Your e-mail address (optional)

 

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