Relate Cambridge    
3 Brooklands Avenue    
Cambridge    
Cambridgeshire    
CB2 8BB    

Tel: 01223 357424    
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Post Ongoing Counselling Form


Client number:
Gender: Male  Female
Date of last session:  /  /
Rate contact with office staff: Excellent Good Fair Poor
Time between initial CC and
commencing on-going counseling:		 Excellent Good Fair Poor
Rate counsellor's understanding
of situation:		 Excellent Good Fair Poor
Effect counselling has had on
understanding yourself:		 Excellent Good Fair Poor
Effect counselling has had on
understanding your partner:		 Excellent Good Fair Poor
Effect counselling has had on
changing your relationship:		 Excellent Good Fair Poor
Do you consider your experience
of counselling at Relate worthwhile?:		 Yes No
Would you recommend Relate?: Yes No
Client suggestions/comments:
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