Therapy Quality Check Survey

Clearhead welcomes feedback from our clients to ensure quality of service and improvement of our platform. We send a non-compulsory survey after each therapy session which covers feedback on therapy, the Clearhead platform and includes a WHO-5 measure.

We may follow up on feedback if we receive consent from the client to do so.



Therapy Quality Check Survey Questions:


Was your recent therapy session helpful to you?  
Yes/No

How would you rate your therapist?
1-5 stars

Please provide any feedback you would like to share about your therapist or booking experience with Clearhead. 
Free text

For the past two weeks, I have felt cheerful and in good spirits 
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time

For the past two weeks, I have felt calm and relaxed
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

For the past two weeks, I have felt active and vigorous
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

For the past two weeks, I woke up feeling fresh and rested
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

For the past two weeks, my daily life has been filled with things that interest me
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

My personal problems caused me to miss work
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

My personal problems kept me from concentrating on my work.
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

I am often eager to get to the work site to start the day.
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

So far, my life seems to be going very well.
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

I dread going to work
All of the time
Most of the time
More than half of the time
Less than half of the time
Some of the time
At no time 

Finally, do you consent to us contacting you about your feedback? If so what method would you prefer? 
Email
Phone
Both
I do not consent