Post Evaluation of 1-on-1 Session

 

Post Session Evaluation Form 

Dear MindWell Client,


Thank you for your trust and confidence in scheduling a consultation with us. We hope we were helpful to you.

This form is to make sure we take every effort to continuously improve our care and support for you. Kindly fill in the necessary information. Rest assured that we will keep the information indicated herein private and confidential, and that the form will be deactivated and the data deleted after a period of 5 years in accordance with our data management policy.


Kindly click "I Accept the Terms and Condition " button to indicate your consent and confirming you acknowledged the terms and conditions of your session/s.  By clicking the OK button of this Informed Consent, you acknowledge that you have both read and understood all the terms and information contained herein, ample opportunity has been offered to you to ask questions and seek clarification of anything unclear to you.

Please be informed that when you choose not to click the "I Agree the Terms and Condition" button, you won't be able to proceed with the Assessment and are encouraged to contact our well-being and psychological services director at [email protected] for further clarification or assistance you may need.



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