Feedback Your Name ( Optional ) Your Email ( Optional ) Name of Therapist ( Optional ) Therapy has helped me: Increase awareness of the difficulties I was experiencing. (1 Disagree, 5 Agree) 12345 Gain a better understanding of myself (1 Disagree, 5 Agree) 12345 Make positive changes (1 Disagree, 5 Agree) 12345 During therapy: I felt heard, understood and respected (1 Disagree, 5 Agree) 12345 I experienced my therapist as professional, knowledgeable and skilled. (1 Disagree, 5 Agree) 12345 Would you recommend/return to Eden Therapies YesNo Any Additional Comments