Group Feedback Form
Confidential Reflections and Summary Notes
Choices Mental Health Counseling, PLLC
Narrowsburg, NY 12764
Name:
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First Name
Last Name
Date of Group Session:
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Day
Year
Date
Date of Group Session:
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Topic of this group:
WHAT DID YOU GET FROM THIS SESSION?
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Comments, recent landmarks in your life, reflectsions, notes, reminders, etc. PLEASE DO NOT IDENTIFY OTHER CLIENTS IN GROUP BY NAME. These notes will be filed in your chart as part of a record of your progress.
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