Individual and Couples Welcome
Experienced and Qualified Counsellor in Wimbledon
Counselling for Couples and Individuals
Client Info
At the end of counselling I ask you to complete this feedback form.

In what way/s was counselling helpful for you?
In what way/s did counselling not meet your expectations?
Please rate your overall counselling experience from 1 (low) to 10 (high)
May I have your permission to use material from this form anonymously on my website? Yes No
Your first name

Thank you and best wishes, Allan
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