Tackling Sexual Abuse

StopSO » Feedback form for the client during and after therapy

This form is completely confidential, and no information will be passed to the authorities, or third parties. Statistical information will be collated and used to access fundraising to subsidise therapy.

Please enter the ID we sent you when you signed up

Name (Optional) What were you trying to achieve by coming to this therapy How successful has therapy been in achieving those aims.

Not at all

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Completely

How distressed were you just before you began therapy

Not bothered at all

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10

Very distressed

How distressed were you when you completed therapy

Not bothered at all

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Very distressed

Is there still more work to be done on this issue How many sessions have you had with our StopSo therapist? What is/was the name of your counsellor/psychotherapist How useful is the therapy (or if it is completed, how helpful was it)

Not at all useful

1
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5
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10

Extremely useful

Which county or part of the country do you live in? What age group best describes you?
16-25
26-35
36-45
46-55
56-65
over 66

Please briefly describe your ethnic background i.e. white british, mixed, asian british, black british,
White
Mixed
Black
Asian
Chinese
Other: please specify
Is there anything that we should know about your experience with StopSo? When searching online for StopSo what search terms would you typically use?

This will help us make our site more accessible to other people

What is your email address (optional)