Share Your Feedback

Anonymous · confidential · for current and former therapy clients

This survey is completely anonymous — no name or email is collected. Your responses help shape the practice, and with your consent, short quotes may be used as testimonials on the website (never with anything that could identify you).

1. Please choose the clinician

Dr Marie-Claire Reville

2. How long did you have a therapeutic relationship with this clinician?

3. What did you value about this therapeutic relationship?

4. Is there any feedback you would like to give to the clinician?

5. Would you like to make any other comments?

6. Please add your mental health difficulty and how long you have experienced this difficulty Optional — only include what you're comfortable sharing.

7. Do you consent to quotes from this survey being used for testimonials? If yes, quotes may appear on the website or in print materials — never with anything that could identify you.

Yes No

Thank you

Your feedback has been received, anonymously. It genuinely helps shape the practice.

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