Client Feedback Form * Client Feedback Form * Client Feedback Form * For Current Clients Whose your therapist? * Dominique Laroneje How have your sessions been with your therapist? * Has anything stood out so far with your time with your therapist? * At any point in your session, did you feel uncomfortable? If so, please share what made you feel this way. * Do you feel like your sessions with your therapist has been helpful? If not, why? * Is there anything that you are wanting more of from your sessions with your therapist? * Do you still feel like your therapist is a good fit? * Yes No Would you recommend your therapist and/or Well Grounded Therapy PLLC to a friend, coworker or family member, etc.? * Yes No Maybe Are you comfortable with your testimonial/feedback to be posted on the Well Grounded Therapy website anonymously? (This is not for Google, Yelp, etc.) * Yes No Thank you!